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Deactivated NPI 1912112186 Deactivated / Inactive NPI Male Practitioner

Stanley Wayne Broughton

Case Manager/Care Coordinator • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stanley Broughton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2007
NPI Deactivation Date November 20, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Stanley Broughton was a registered Case Manager/Care Coordinator practicing in Riverside, CA. Throughout an active medical career spanning 18 years, Stanley Broughton provided care at the practice location at 3576 ARLINGTON AVE until profile deactivation on 2025-11-20.

Practice Location & Contact Primary Location

Practice Address

3576 Arlington Ave
Ste. 102

Riverside, CA 925063943

Telephone 9517829577
Associated Practice Facility / Clinic
🏢 Harmony Hospice Care, Inc. Facility NPI 1932385937

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
693 Specialists

Practicing in Riverside, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Ronnie Delamancha

Case Manager/Care Coordinator

NPI 1053593228
Jessica Pellegrin , RADT-1

Counselor - Addiction (Substance Use Disorder)

NPI 1053796110

RADT1

Emmett Hazelwood

Counselor - Addiction (Substance Use Disorder)

NPI 1194028027
Danielle Clark

Counselor - Addiction (Substance Use Disorder)

NPI 1205377363
Michael Berber , RADT-1

Counselor - Addiction (Substance Use Disorder)

NPI 1225492770

RADT1

Sabrina Barragan

Counselor - Addiction (Substance Use Disorder)

NPI 1225570310

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 20, 2025

Record deactivated on November 20, 2025

NPI Profile Active August 10, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2007

Registered at 3576 ARLINGTON AVE, STE. 102, RIVERSIDE, CA 925063943 (Tel: 9517829577)

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Updated Business Mailing Address August 10, 2007

Registered at 3576 ARLINGTON AVE, STE. 102, RIVERSIDE, CA 925063943 (Tel: 9517829577)

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Provider Name / Credentials Updated August 10, 2007

Recorded as STANLEY BROUGHTON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2007

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration May 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912112186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2007
Last Update: August 10, 2007
Deactivation Date: November 20, 2025

Mailing Address

3576 Arlington Ave, Ste. 102

Riverside, CA 925063943

Phone: 9517829577

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.