Chris Faamausili

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

342700024 Issued in CA

Practice address

5205 Argo Way
Sacramento, CA 95820-5737

Phone

(916) 823-5117

NPI assigned

Jan 25, 2018

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wholesome Elderly Care Homes, LLC

  • Assisted Living Facility
  • Fair Oaks, CA
  • NPI 1164197000
  NPD Authorized official

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1962900852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16930 OAK TREE AVE",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960229683",
            "telephone_number": "916-670-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 ARGO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205737",
            "telephone_number": "916-823-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAAMAUSILI",
        "first_name": "CHRIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "342700024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Uchenna Ezimora
• Camille Ezran, MD
• Omar Farag Ezubeik
• Sohib Ezubeik
• Mohammed Y Ezzi, M.D
• Fabe LLC
• Hubbis D Fabian, BA
• Meilany Fabian, RBT
• Thalia Fabian, DO, MS
• Ashley Fabillaran

• Nursing Home Administrator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Nursing Home Administrator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.