1. Home
  2. Directory
  3. California
  4. Roseville
  5. Nurse Practitioner
  6. NPI Profile

MR. CLIFFORD LEO FAUBERT
NPI 1215407051
Nurse Practitioner - Acute Care in Roseville, CA

Active since December 04, 2018PECOS Enrolled
1937 ELLESMERE LOOP, ROSEVILLE, CA 95747(916) 586-0075 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 30, 2021, Dec 4, 2018 (2 updates tracked since 2018).

About Mr. Clifford Leo Faubert NPPES

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

MR. CLIFFORD LEO FAUBERT (NPI 1215407051) is an individual acute care provider in Roseville, California, licensed in California (95010522) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215407051
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. CLIFFORD LEO FAUBERT
Location Address1937 ELLESMERE LOOPRoseville, CA 95747-5085
Mailing Address1937 Ellesmere LoopRoseville, CA 95747-5085
Phone(916) 586-0075
Sole ProprietorNo
Enumeration DateDecember 4, 2018
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
✔ NPI 1215407051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95010522
1937 ELLESMERE LOOP, Roseville, CA 95747
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clifford Leo Faubert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95747 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Clifford Faubert's NPI number?

The NPI number for Clifford Faubert is 1215407051. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Where is Clifford Faubert located?

Clifford Faubert practices at 1937 Ellesmere Loop, Roseville, CA 95747. The listed phone number is (916) 586-0075.

What is Clifford Faubert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Clifford Faubert enrolled in Medicare?

Yes. Clifford Faubert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clifford Faubert was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.