Individual provider Active NPI

Fahm Saelee Florendo

  • Social Worker
  • Citrus Heights, CA
National Provider Identifier
1679874465
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
29734 Issued in CA
Practice address
7806 Uplands Way Ste a
Citrus Heights, CA 95610-7567
Phone
(916) 967-6253
Fax
(916) 967-9413
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 29734 CA Primary

Addresses

Primary practice location

7806 Uplands Way Ste a
Citrus Heights, CA 95610-7567

Mailing address

7806 Uplands Way Ste a
Citrus Heights, CA 95610-7567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29734CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1679874465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 UPLANDS WAY STE A",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 UPLANDS WAY STE A",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107567",
            "telephone_number": "916-967-6253",
            "fax_number": "916-967-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAELEE FLORENDO",
        "first_name": "FAHM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "29734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.