STACEY W LIP N.P.
NPI 1962421115
Nurse Practitioner in Loma Linda, CA

Q: What is Stacey Lip's NPI number?

The NPI number for Stacey Lip is 1962421115. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Stacey Lip's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Lip was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2006

11370 ANDERSON ST, STE 1100, LOMA LINDA, CA 92354(909) 558-2830 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stacey W Lip N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY W LIP N.P. (NPI 1962421115) is an individual nurse practitioner in Loma Linda, California, licensed in California (NP7487) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962421115

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY W LIPCredential: N.P.

Location Address11370 ANDERSON ST, STE 1100Loma Linda, CA 92354-3450

Mailing Address54701 File NubmerLos Angeles, CA 90074-4701 · (909) 558-3111

Phone(909) 558-2830

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1962421115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP7487

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11370 ANDERSON ST, Loma Linda, CA 92354

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Other Identifiers 1

Medicare UPINP70880

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN Y KIM M.D.

Otolaryngology

11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2822

EDMUND YUEY KUN KO M.D.

Urology

11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2830

SNORRI OLAFSSON M.D.

Internal Medicine (Gastroenterology)

11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2191

SIGVE K. TONSTAD M.D.

Internal Medicine

11370 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2870

KHASHAYAR DASHTIPOUR M.D.

Psychiatry & Neurology (Neurology)

11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2880

DOUGLAS DEMING M.D.

Pediatrics (Neonatal-Perinatal Medicine)

11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2848

ABEL TORRES M.D.

Dermatology (MOHS-Micrographic Surgery)

11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2055

MIA NEPOMUCENO-PEREZ M.D.

Pathology (Anatomic Pathology)

11370 ANDERSON ST, STE 2960
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Lip's NPI number?

The NPI number for Stacey Lip is 1962421115. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Stacey Lip located?

Stacey Lip practices at 11370 Anderson St Ste 1100, Loma Linda, CA 92354. The listed phone number is (909) 558-2830.

What is Stacey Lip's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Stacey Lip was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.