Active NPI
Faanuu Seumanutusa
- Social Worker
- Fairfield, CA
National Provider Identifier
1982075537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 127639
- Practice address
- 275 Beck Ave
Fairfield, CA 94533-6804 - Phone
- (707) 784-8017
- NPI assigned
- Oct 8, 2015
- Last updated
- Mar 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Social Worker | 104100000X | 127639 | CA | Primary |
| Clinical Social Worker | 1041C0700X | TEST | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
275 Beck Ave
Fairfield, CA 94533-6804
Mailing address
PO Box 5621
Vallejo, CA 94591-0621
Other practice location 1
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 473-6829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982075537 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 127639 | CA | MD | Social Worker |
| TEST | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1982075537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5621",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945910621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BECK AVE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336804",
"telephone_number": "707-784-8017"
}
],
"practiceLocations": [
{
"address_1": "250 Bon Air Rd",
"address_purpose": "LOCATION",
"city": "Greenbrae",
"state": "CA",
"postal_code": "949041702",
"country_code": "US",
"telephone_number": "415-473-6829",
"fax_number": "415-473-4115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEUMANUTUSA",
"first_name": "FAANUU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "127639",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "TEST",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982075537",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.