IndividualActive
Reggie Federico
NPI 1114649522 · Licensed Vocational Nurse · Moreno Valley, CA
Reggie Federico is a Licensed Vocational Nurse provider in Moreno Valley, CA (NPI 1114649522).
Provider details
- NPI number
- 1114649522
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 725020 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
24941 Dracaea Ave
Moreno Valley, CA 92553-3777
Phone: (951) 579-6353
Street-level locationGet directions
Mailing address
109 E 11th St
Corona, CA 92879-2157
Additional practice locations (1)
- 109 E 11th StCorona, CA 92879-2157Phone: (951) 427-3482
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Frequently asked questions
- What is Reggie Federico's NPI number?
- Reggie Federico's National Provider Identifier (NPI) is 1114649522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Reggie Federico's specialty?
- Reggie Federico is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Reggie Federico located?
- Reggie Federico's practice location on file with NPPES is 24941 Dracaea Ave, Moreno Valley, CA 92553-3777.
- What is Reggie Federico's phone number?
- The practice phone number listed in the NPPES registry for Reggie Federico is (951) 579-6353.
- Is Reggie Federico's NPI active?
- Yes — Reggie Federico's NPI (1114649522) is active in the NPPES registry as of the last update on 2025-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.