JUSTIN FENTON - NPI 1083252142 - Registered Nurse in Covina, CA

Q: What is Justin Fenton's NPI number?

The NPI number for Justin Fenton is 1083252142. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Q: What is Justin Fenton's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Justin Fenton was last updated on December 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Justin Fenton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN FENTON (NPI 1083252142) is an individual psychiatric/mental health provider in Covina, California, licensed in California (800227) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1083252142

Entity TypeIndividualMale

Primary Taxonomy163WP0808X

Provider Legal NameJUSTIN FENTON

Location Address1161 E COVINA BLVDCovina, CA 91724-1523

Mailing Address1161 E Covina BlvdCovina, CA 91724-1523 · (626) 966-1632

Phone(626) 966-1632

Sole ProprietorYes

Enumeration DateDecember 19, 2019

✔ NPI 1083252142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in CA · 800227

1161 E COVINA BLVD, Covina, CA 91724

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAINY STOUT

Registered Nurse (Psychiatric/Mental Health, Adult)