Edvina Samkeliso Fuyana, is a
Nurse Practitioner - Family physician based in Irvine, California. Edvina Samkeliso Fuyana is licensed to practice in Georgia (license number 213866) and her current practice location is 17981 Sky Park Cir Bldg 39, Irvine, California. She can be reached at her office (for appointments etc.) via phone at
(877) 896-7350.
NPI number for Edvina Samkeliso Fuyana is 1972187482 and her current mailing address is 17981 Sky Park Cir Bldg 39, Irvine, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972187482.
Physician's Profile
Full Name | Edvina Samkeliso Fuyana |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 17981 Sky Park Cir Bldg 39, Irvine, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972187482
- Provider Enumeration Date: 05/11/2021
- Last Update Date: 01/12/2022
Medical Identifiers
Medical identifiers for Edvina Samkeliso Fuyana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972187482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 95017106 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 213866 (Georgia) | 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. Edvina Samkeliso Fuyana 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 |
Edvina Samkeliso Fuyana, 17981 Sky Park Cir Bldg 39, Irvine, CA 92614-6309 Ph: (877) 896-7350 | Edvina Samkeliso Fuyana, 17981 Sky Park Cir Bldg 39, Irvine, CA 92614-6309 Ph: (877) 896-7350 |
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