Keonekealoha Pasirio Fatiaki, is a
Social Worker based in Vista, California. Keonekealoha Pasirio Fatiaki is licensed to practice in California (license number 113918) and his current practice location is
216 W Los Angeles Dr, Vista, California. He can be reached at his office (for appointments etc.) via phone at
(760) 630-4065.
NPI number for Keonekealoha Pasirio Fatiaki is 1851044747 and his current mailing address is 216 W Los Angeles Dr, Vista, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851044747.
Healthcare Provider's Profile
| Full Name | Keonekealoha Pasirio Fatiaki |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 216 W Los Angeles Dr, Vista, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851044747
- Provider Enumeration Date: 01/31/2022
- Last Update Date: 04/07/2023
Medical Identifiers
Medical identifiers for Keonekealoha Pasirio Fatiaki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851044747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 113918 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 113918 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keonekealoha Pasirio Fatiaki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keonekealoha Pasirio Fatiaki,
216 W Los Angeles Dr,
Vista, CA 92083-3101
Ph: (760) 630-4065 | Keonekealoha Pasirio Fatiaki,
216 W Los Angeles Dr,
Vista, CA 92083-3101
Ph: (760) 630-4065 |
Reviews and Comments