DR. CLINNT LUNA FAVO DO
NPI 1902656838
Student in an Organized Health Care Education/Training Program in Newport News, VA

Q: What is Clinnt Favo's NPI number?

The NPI number for Clinnt Favo is 1902656838. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Clinnt Favo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Clinnt Favo was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 25, 2024PECOS Enrolled

500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601(757) 612-7277(757) 594-3184 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Clinnt Luna Favo Do NPPES

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

DR. CLINNT LUNA FAVO DO (NPI 1902656838) is an individual student in an organized health care education/training program in Newport News, Virginia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1902656838

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CLINNT LUNA FAVOCredential: DO

Location Address500 J CLYDE MORRIS BLVDNewport News, VA 23601-1929

Mailing Address20000 N 57th Ave Rm D102Glendale, AZ 85308-6837 · (619) 823-0338

Phone(757) 612-7277

Fax(757) 594-3184

Sole ProprietorYes

Enumeration DateMarch 25, 2024

Last NPPES UpdateMarch 24, 2026

NPPES CertifiedMarch 24, 2026

✔ NPI 1902656838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

500 J CLYDE MORRIS BLVD, Newport News, VA 23601

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Secondary Practice Location 1

Location 1145 Sunset Ct Ste 100West Columbia, SC 29169-2464 · Phone (803) 000-0000 · Fax (803) 739-3546

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clinnt Luna Favo Do 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.

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.

JOHN JONG HO KIDD CRNA

Nurse Anesthetist, Certified Registered

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (866) 627-2471

HOLLY LYNN SNYDER GENETIC COUNSELOR

Genetic Counselor, MS

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (757) 494-3636

DR. SARAH JAMES DILL MD

Anesthesiology

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (757) 353-0565

DENNIE THOMASSON BARTOL MD

Radiology (Diagnostic Radiology)

500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER
NEWPORT NEWS, VA 23601

Newport News City (757) 594-4405

MARISELA DAVIS DO

Student in an Organized Health Care Education/Training Program

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (757) 612-7200

CHARLES E UMSTOTT MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

500 J CLYDE MORRIS BLVD, SUITE 602
NEWPORT NEWS, VA 23601

Newport News City (757) 534-5511

RAYMOND AMAKER MD

Pediatrics (Neonatal-Perinatal Medicine)

500 J CLYDE MORRIS BLVD, HAMPTON ROADS NEONATOLOGY
NEWPORT NEWS, VA 23601

Newport News City (757) 594-2000

MS. ERICA R NIPPER CRNA

Nurse Anesthetist, Certified Registered

500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

Newport News City (757) 594-2000

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 Clinnt Favo's NPI number?

The NPI number for Clinnt Favo is 1902656838. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Clinnt Favo located?

Clinnt Favo practices at 500 J Clyde Morris Blvd, Newport News, VA 23601. The listed phone number is (757) 612-7277.

What is Clinnt Favo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Clinnt Favo enrolled in Medicare?

Yes. Clinnt Favo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clinnt Favo was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.