Keonekealoha Pasirio Fatiaki

Primary specialty

Social WorkerTaxonomy code 104100000X

License

113918 Issued in CA

Practice address

216 W Los Angeles Dr
Vista, CA 92083-3101

Phone

(760) 630-4065

NPI assigned

Jan 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1851044747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W LOS ANGELES DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920833101",
            "telephone_number": "760-630-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W LOS ANGELES DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920833101",
            "telephone_number": "760-630-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIAKI",
        "first_name": "KEONEKEALOHA",
        "middle_name": "PASIRIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "113918",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "113918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R Farmer
• Julia Olson Farmer, MD
• Clover A Farr, P.T.
• David Michael Farris, PT
• Naila R Farukhi, DDS
• Sarah Elizabeth Fatland, DO
• Frooz Fatoorachi-Korsand, DDS
• Houri Fatourachi, DDS
• Feeding Solutions LLC
• Kimberley Ann Feig, L.A.C.

• Social Worker in Vista, CA
• Providers in Vista, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.