STACY MORAA OMBOGO NPI 1417582628

NPI Information

  • NPI: 1417582628
  • Provider Name: STACY MORAA OMBOGO
  • Classification: Licensed Vocational Nurse - 164X00000X
  • Entity Type: Individual
  • Address: 7166 N FRUIT AVE APT 120
    FRESNO, CA
    ZIP 93711
  • Phone: (559) 972-7489

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NPI Details

Stacy Moraa Ombogo is a licensed vocational nurse in Fresno, CA. The provider is 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. Stacy Moraa Ombogo NPI is 1417582628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7166 N FRUIT AVE APT 120
FRESNO, CA
ZIP 93711-744
Phone: (559) 972-7489

The enumeration date for this NPI number is 3/8/2020 and was last updated on 3/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164X00000XLicensed Vocational Nurse282878CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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