Stephanie Nai Fualau, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

95050743 Issued in CA

Practice address

2828 Breaker Way
Stockton, CA 95209-4265

Phone

(209) 298-6650

NPI assigned

Nov 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1922717586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 BREAKER WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094265",
            "telephone_number": "209-298-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 BREAKER WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094265",
            "telephone_number": "209-298-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUALAU",
        "first_name": "STEPHANIE",
        "middle_name": "NAI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95050743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.fualau@hpmg.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "2409 Camino Ramon",
            "city": "San Ramon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945834285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Ann Froberg
• Alexander Nuelle J. Fronda, MD
• Kristi Frye
• Nashianna Frye
• Johnny Fu, DO
• Monica Fuentes-Rodriguez
• Gustavo Fuentes, APCC ASOCIATE LICENS
• Maria Fuentes
• Naomi N Fuentes
• Micaela Isabel Fuentez

• Case Management Registered Nurse in Stockton, CA
• Providers in Stockton, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.