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FAUSTO LICONA AYALA
NPI 1588413033
Case Manager/Care Coordinator in San Fernando, CA

Active since May 16, 2024
762 GRISWOLD AVE, SAN FERNANDO, CA 91340(747) 500-9405 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fausto Licona Ayala NPPES

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

FAUSTO LICONA AYALA (NPI 1588413033) is an individual case manager/care coordinator provider in San Fernando, California, licensed in California (16759-RAC) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1588413033
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameFAUSTO LICONA AYALA
Location Address762 GRISWOLD AVESan Fernando, CA 91340
Mailing Address15120 Victory Blvd #6Van Nuys, CA 91411
Phone(747) 500-9405
Sole ProprietorYes
Enumeration DateMay 16, 2024
✔ NPI 1588413033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in CA · 16759-RAC
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
762 GRISWOLD AVE, San Fernando, CA 91340
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MS. DOLORES BONNIE GUERRERO-REYNALDO LVN
Licensed Vocational Nurse
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RICHARD KEITH JOHN JR.
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MR. CHARLES NICKELL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
CAINE HERRERA
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
SAN FERNANDO RECOVERY CENTER
Substance Abuse Rehabilitation Facility
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARTHA VANESSA ALMENDAREZ
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RYAN CURIEL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARINA NICOLETI
Student in an Organized Health Care Education/Training Program
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405

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 Fausto Licona Ayala's NPI number?

The NPI number for Fausto Licona Ayala is 1588413033. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Fausto Licona Ayala located?

Fausto Licona Ayala practices at 762 Griswold Ave, San Fernando, CA 91340. The listed phone number is (747) 500-9405.

What is Fausto Licona Ayala's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Fausto Licona Ayala was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.