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FONTAINE WILLIS
NPI 1184215550
Driver in San Bernardino, CA

Active since January 28, 2021
4420 N VARSITY AVE APT 1040, SAN BERNARDINO, CA 92407(213) 949-6845 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fontaine Willis NPPES

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

FONTAINE WILLIS (NPI 1184215550) is an individual driver provider in San Bernardino, California, licensed in California (Y7940726) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1184215550
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameFONTAINE WILLIS
Location Address4420 N VARSITY AVE APT 1040San Bernardino, CA 92407-4636
Mailing Address4420 N Varsity Ave Apt 1040San Bernardino, CA 92407-4636 · (213) 949-6845
Phone(213) 949-6845
Sole ProprietorYes
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1184215550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in CA · Y7940726
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
4420 N VARSITY AVE APT 1040, San Bernardino, CA 92407
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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 Fontaine Willis's NPI number?

The NPI number for Fontaine Willis is 1184215550. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Fontaine Willis located?

Fontaine Willis practices at 4420 N Varsity Ave Apt 1040, San Bernardino, CA 92407. The listed phone number is (213) 949-6845.

What is Fontaine Willis's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Fontaine Willis was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.