STACY LEE GRILLO LVN NPI 1750723912

NPI Information

  • NPI: 1750723912
  • Provider Name: STACY LEE GRILLO, LVN
  • Classification: Licensed Vocational Nurse - 164X00000X
  • Entity Type: Individual
  • Address: 11503 CASA BLANCA ST
    YUCAIPA, CA
    ZIP 92399
  • Phone: (951) 956-1688

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NPI Details

Stacy Lee Grillo, LVN is a licensed vocational nurse in Yucaipa, CA. The provider is a licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. Stacy Lee Grillo, LVN NPI is 1750723912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11503 CASA BLANCA ST
YUCAIPA, CA
ZIP 92399-703
Phone: (951) 956-1688

The enumeration date for this NPI number is 7/29/2013 and was last updated on 2/17/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164X00000XLicensed Vocational NurseVN266011CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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