Provider Demographics
NPI:1831901677
Name:KANGI, FAITH IPATO
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:IPATO
Last Name:KANGI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18355 MAFFEY DR
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-2216
Mailing Address - Country:US
Mailing Address - Phone:209-448-8671
Mailing Address - Fax:
Practice Address - Street 1:18355 MAFFEY DR
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-2216
Practice Address - Country:US
Practice Address - Phone:209-448-8671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95221236163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse