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REGGIE FEDERICO
NPI 1114649522
Licensed Vocational Nurse in Moreno Valley, CA

Active since September 13, 2022
24941 DRACAEA AVE, MORENO VALLEY, CA 92553(951) 579-6353 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reggie Federico NPPES

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

REGGIE FEDERICO (NPI 1114649522) is an individual licensed vocational nurse in Moreno Valley, California, licensed in California (725020) and active in the NPI registry since September 2022. He maintains a secondary practice location in Corona.

NPPES Registry Identity

NPI1114649522
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameREGGIE FEDERICO
Location Address24941 DRACAEA AVEMoreno Valley, CA 92553-3777
Mailing Address109 E 11th StCorona, CA 92879-2157
Phone(951) 579-6353
Sole ProprietorNo
Enumeration DateSeptember 13, 2022
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1114649522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 725020
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
24941 DRACAEA AVE, Moreno Valley, CA 92553
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Secondary Practice Location 1

Location 1109 E 11th StCorona, CA 92879-2157 · Phone (951) 427-3482

Other Providers at the Same Location NPPES 6

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

BLANKA KONG
Licensed Vocational Nurse
24941 DRACAEA AVE
MORENO VALLEY, CA 92553
Riverside County (951) 579-6353
MICHELLE RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
24941 DRACAEA AVE
MORENO VALLEY, CA 92553
Riverside County (951) 579-6353
HANNAH ABRILLO
Licensed Vocational Nurse
24941 DRACAEA AVE
MORENO VALLEY, CA 92553
Riverside County (951) 579-6353
CHRISTINA DORAME LVN
Licensed Vocational Nurse
24941 DRACAEA AVE
MORENO VALLEY, CA 92553
Riverside County (951) 579-6353
PAULA CARRILLO LVN
Licensed Vocational Nurse
24941 DRACAEA AVE
MORENO VALLEY, CA 92553
Riverside County (951) 579-6353
EVEXIA HEALTH SERVICES, LLC
Clinic/Center (Methadone)
24941 DRACAEA AVE
MORENO VALLEY, CA 92553
Riverside County (951) 427-3482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reggie Federico's NPI number?

The NPI number for Reggie Federico is 1114649522. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Reggie Federico located?

Reggie Federico practices at 24941 Dracaea Ave, Moreno Valley, CA 92553. The listed phone number is (951) 579-6353.

What is Reggie Federico's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Reggie Federico was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.