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Olivfaun Stallworth
NPI 1104624477 · Licensed Vocational Nurse · Los Angeles, CA
Olivfaun Stallworth is a Licensed Vocational Nurse provider in Los Angeles, CA (NPI 1104624477).
Provider details
- NPI number
- 1104624477
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 198805 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12021 Wilmington Ave Ste 2b
Los Angeles, CA 90059-3019
Phone: (310) 221-6336
Street-level locationGet directions
Mailing address
12021 Wilmington Ave Ste 2b
Los Angeles, CA 90059-3019
Registry dates
- Enumerated
- 2025-03-04
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Frequently asked questions
- What is Olivfaun Stallworth's NPI number?
- Olivfaun Stallworth's National Provider Identifier (NPI) is 1104624477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Olivfaun Stallworth's specialty?
- Olivfaun Stallworth is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Olivfaun Stallworth located?
- Olivfaun Stallworth's practice location on file with NPPES is 12021 Wilmington Ave Ste 2b, Los Angeles, CA 90059-3019.
- What is Olivfaun Stallworth's phone number?
- The practice phone number listed in the NPPES registry for Olivfaun Stallworth is (310) 221-6336.
- Is Olivfaun Stallworth's NPI active?
- Yes — Olivfaun Stallworth's NPI (1104624477) is active in the NPPES registry as of the last update on 2025-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.