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JAESON M FETALVERO
NPI 1356953848
Licensed Practical Nurse in Canoga Park, CA

Active since August 18, 2020
7246 REMMET AVE, CANOGA PARK, CA 91303(818) 206-0630 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, Feb 18, 2021, Aug 18, 2020 (3 updates tracked since 2020).

About Jaeson M Fetalvero NPPES

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

JAESON M FETALVERO (NPI 1356953848) is an individual licensed practical nurse in Canoga Park, California, licensed in California (218256) and active in the NPI registry since August 2020. He maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1356953848
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJAESON M FETALVERO
Location Address7246 REMMET AVECanoga Park, CA 91303-1531
Mailing Address3834 Colma AveMerced, CA 95348-8719
Phone(818) 206-0630
Sole ProprietorYes
Enumeration DateAugust 18, 2020
Last NPPES UpdateMay 21, 20213 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
✔ NPI 1356953848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CA · 218256
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
7246 REMMET AVE, Canoga Park, CA 91303
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Secondary Practice Location 1

Location 11235 McHenry Ave Ste A&bModesto, CA 95350-5370 · Phone (209) 527-4597

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.

PRABHJOT KAUR
Licensed Vocational Nurse
7246 REMMET AVE
CANOGA PARK, CA 91303
Los Angeles County (818) 206-0360
KRISTEN KEMP PSYD
Psychologist
7246 REMMET AVE
CANOGA PARK, CA 91303
Los Angeles County (707) 616-1803
RHONDA LYNNE JOHNSON LVN
Licensed Vocational Nurse
7246 REMMET AVE
CANOGA PARK, CA 91303
Los Angeles County (818) 206-0360
ABELARDO ACOSTA
Technician, Other
7246 REMMET AVE
CANOGA PARK, CA 91303
Los Angeles County (818) 206-0360
RONNIE L BUNKLEY
Psychologist (Clinical)
7246 REMMET AVE
CANOGA PARK, CA 91303
Los Angeles County (818) 206-0360
MRS. HEATHER A HAMERSKI IMFT
Marriage & Family Therapist
7246 REMMET AVE
CANOGA PARK, CA 91303
Los Angeles County (818) 206-0360
SEAN HORNSBY M.A.
Counselor (Addiction (Substance Use Disorder))
7246 REMMET AVE
CANOGA PARK, CA 91303
Los Angeles County (559) 283-5050
EBONIE DAWN WALKER-BROWN
Licensed Psychiatric Technician
7246 REMMET AVE
CANOGA PARK, CA 91303
Los Angeles County (818) 206-0360

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 Jaeson Fetalvero's NPI number?

The NPI number for Jaeson Fetalvero is 1356953848. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Jaeson Fetalvero located?

Jaeson Fetalvero practices at 7246 Remmet Ave, Canoga Park, CA 91303. The listed phone number is (818) 206-0630.

What is Jaeson Fetalvero's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jaeson Fetalvero was last updated on May 21, 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.