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JODIVON LEE FAIRCLOUGH LVN
NPI 1801463393
Licensed Vocational Nurse in View Park, CA

Active since June 04, 2021
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043(323) 295-4555 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jodivon Lee Fairclough Lvn NPPES

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

JODIVON LEE FAIRCLOUGH LVN (NPI 1801463393) is an individual licensed vocational nurse in View Park, California, licensed in California (VN716238) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1801463393
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameJODIVON LEE FAIRCLOUGHCredential: LVN
Location Address5300 ANGELES VISTA BLVDView Park, CA 90043-1648
Mailing Address512 Grace Ave Apt 1Inglewood, CA 90301-1339 · (424) 541-8364
Phone(323) 295-4555
Sole ProprietorNo
Enumeration DateJune 4, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1801463393 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 · VN716238
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.
5300 ANGELES VISTA BLVD, View Park, CA 90043
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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.

WAYFINDER FAMILY SERVICES
Clinic/Center (Multi-Specialty)
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Los Angeles County (323) 295-4555
TONYSHA GAIBRIONNE MILES
Rehabilitation Practitioner
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Los Angeles County (323) 295-4555
MIREYA RIOS
Rehabilitation Practitioner
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Los Angeles County (323) 295-4555
LEA HINDERLING
Student in an Organized Health Care Education/Training Program
5300 ANGELES VISTA BLVD
LOS ANGELES, CA 90043
Los Angeles County (213) 828-1992
CORINA ESTHER CASCO LCSW
Social Worker (Clinical)
5300 ANGELES VISTA BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 295-4555
NORMA HERRERA
Marriage & Family Therapist
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Los Angeles County (323) 295-4555
MS. CHANTELLE C COLBERT
Social Worker (Clinical)
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Los Angeles County (323) 295-4555
MS. CHRISTINA A. MILIA
Counselor (Mental Health)
5300 ANGELES VISTA BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 295-4555

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 Jodivon Fairclough's NPI number?

The NPI number for Jodivon Fairclough is 1801463393. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Jodivon Fairclough located?

Jodivon Fairclough practices at 5300 Angeles Vista Blvd, View Park, CA 90043. The listed phone number is (323) 295-4555.

What is Jodivon Fairclough'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 Jodivon Fairclough was last updated on June 4, 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.