IndividualActive
Jodivon Fairclough, LVN
NPI 1801463393 · Licensed Vocational Nurse · View Park, CA
Provider details
- NPI number
- 1801463393
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- License
- VN716238 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5300 Angeles Vista Blvd
View Park, CA 90043-1648
Phone: (323) 295-4555
Street-level locationGet directions
Mailing address
512 Grace Ave Apt 1
Inglewood, CA 90301-1339
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2021-06-04
- Certified
- 2021-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.