IndividualActive
Adam Fonville
NPI 1164149902 · Registered Nurse · Oakland, CA
Provider details
- NPI number
- 1164149902
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 95038418 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
3100 Telegraph Ave Ste 348
Oakland, CA 94609-3239
Phone: (707) 815-1086
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Telegraph Ave Ste 348
Oakland, CA 94609-3239
Registry dates
- Enumerated
- 2022-10-24
- Last updated
- 2022-10-24
- Certified
- 2022-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.