SHAUN STARK NPI 1861181711

NPI Information

  • NPI: 1861181711
  • Provider Name: SHAUN STARK
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 2890 INLAND EMPIRE BLVD
    ONTARIO, CA
    ZIP 91764
  • Phone: (909) 233-7265

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NPI Details

Shaun Stark is a peer specialist in Ontario, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Shaun Stark NPI is 1861181711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2890 INLAND EMPIRE BLVD
ONTARIO, CA
ZIP 91764-649
Phone: (909) 233-7265

The enumeration date for this NPI number is 5/5/2023 and was last updated on 5/19/2023.

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
1172V00000XCommunity Health WorkerNo
2175T00000XPeer SpecialistYes

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: 3/30/2025

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