JIMMY HENRY FADDIS I
NPI 1922660695
Student in an Organized Health Care Education/Training Program in Chula Vista, CA

Q: What is Jimmy Faddis's NPI number?

The NPI number for Jimmy Faddis is 1922660695. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Jimmy Faddis'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 Jimmy Faddis was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 02, 2019

430 F ST, CHULA VISTA, CA 91910(619) 420-3620 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2019, Jul 2, 2019 (2 updates tracked since 2019).

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About Jimmy Henry Faddis I NPPES

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

JIMMY HENRY FADDIS I (NPI 1922660695) is an individual student in an organized health care education/training program in Chula Vista, California and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1922660695

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJIMMY HENRY FADDIS I

Location Address430 F STChula Vista, CA 91910-3711

Mailing Address430 F StChula Vista, CA 91910-3711 · (619) 420-3620

Phone(619) 420-3620

Sole ProprietorNo

Enumeration DateJuly 2, 2019

Last NPPES UpdateJuly 11, 20192 updates tracked since enumeration

✔ NPI 1922660695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselorTaxonomy 101Y00000X

430 F ST, Chula Vista, CA 91910

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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.

STEPHANNI E CASAS

Case Manager/Care Coordinator