Keonekealoha Pasirio Fatiaki
Social Worker in Vista, CA. Individual provider (NPI-1).
NPI number1851044747
StatusActive
Last updated in NPPESApr 7, 2023
Details
- NPI
- 1851044747
- Entity type
- Individual (NPI-1)
- Name
- Keonekealoha Pasirio Fatiaki
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2022
- Certification date
- Apr 7, 2023
- Last updated
- Apr 7, 2023
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 |
|---|---|---|---|---|
| 104100000X | Social Worker | 113918 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 113918 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
216 W Los Angeles DrVista, CA 92083-3101
Phone 760-630-4065
Mailing address
216 W Los Angeles DrVista, CA 92083-3101
Phone 760-630-4065
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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All 15 Social Worker providers in Vista · All 2,587 providers in Vista
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