Faauiao Fili Fanua
Licensed Vocational Nurse in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1245129451
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1245129451
- Entity type
- Individual (NPI-1)
- Name
- Faauiao Fili Fanua
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2025
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 713005 | CA | Yes |
Practice location
13800 Heacock StMoreno Valley, CA 92553-3339
Phone 213-782-9521
Mailing address
13800 Heacock StMoreno Valley, CA 92553-3339
Phone 213-782-9521
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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