Onita Velma Fangu

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

105 W 1900 S
Bountiful, UT 84010-5530

Phone

(385) 777-6587

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Onita Velma Kaufusi Former name

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1386227973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 1900 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105530",
            "telephone_number": "385-777-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 1900 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105530",
            "telephone_number": "385-777-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANGU",
        "first_name": "ONITA",
        "middle_name": "VELMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "UT",
            "license": "Z4J5H6Z8",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONITA",
            "last_name": "KAUFUSI",
            "middle_name": "VELMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ez RX Inc
• Anthony C Faber, MD
• Raona Kara Fairbanks, RBT
• Family First Home Health and Hospice, Inc.
• Family First Hospice
• Andelin Farley
• Benjamin Kristian Farmer
• Christian Feil
• Vanessa Renee Feinauer, MPT
• Bryson C Fell

• Nursing Home Administrator in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Nursing Home Administrator in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.