Michael Young Fabiana

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN95170331 Issued in CA

Practice address

4 Pasada Valiente
Rancho Santa Margarita, CA 92688-1983

Phone

(651) 353-7369

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1245709500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PASADA VALIENTE",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881983",
            "telephone_number": "651-353-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PASADA VALIENTE",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881983",
            "telephone_number": "651-353-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIANA",
        "first_name": "MICHAEL",
        "middle_name": "YOUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95170331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alicia Switzer-Muse Fernandez, MS

• Registered Nurse in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.