IndividualActive
Fausto Licona Ayala
NPI 1588413033 · Case Manager/Care Coordinator · San Fernando, CA
Fausto Licona Ayala is a Case Manager/Care Coordinator provider in San Fernando, CA (NPI 1588413033).
Provider details
- NPI number
- 1588413033
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16759-RAC (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
762 Griswold Ave
San Fernando, CA 91340
Phone: (747) 500-9405
Street-level locationGet directions
Mailing address
15120 Victory Blvd #6
Van Nuys, CA 91411
Registry dates
- Enumerated
- 2024-05-16
- Last updated
- 2024-05-16
Frequently asked questions
- What is Fausto Licona Ayala's NPI number?
- Fausto Licona Ayala's National Provider Identifier (NPI) is 1588413033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fausto Licona Ayala's specialty?
- Fausto Licona Ayala is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Fausto Licona Ayala located?
- Fausto Licona Ayala's practice location on file with NPPES is 762 Griswold Ave, San Fernando, CA 91340.
- What is Fausto Licona Ayala's phone number?
- The practice phone number listed in the NPPES registry for Fausto Licona Ayala is (747) 500-9405.
- Is Fausto Licona Ayala's NPI active?
- Yes — Fausto Licona Ayala's NPI (1588413033) is active in the NPPES registry as of the last update on 2024-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.