Carolyn Fasakin, - Registered Nurse in Pomona, CA

Carolyn Fasakin, is a Registered Nurse based in Pomona, California. Carolyn Fasakin is licensed to practice in California (license number 760974) and her current practice location is 2180 Valley Blvd, Pomona, California. She can be reached at her office (for appointments etc.) via phone at (909) 865-2336.

NPI number for Carolyn Fasakin is 1093278889 and her current mailing address is 16260 Wind Forest Way, Chino Hills, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093278889.

Contact Information

Carolyn Fasakin,
2180 Valley Blvd,
Pomona, CA 91768-3325
(909) 865-2336
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Fasakin
GenderFemale
SpecialityRegistered Nurse
Location2180 Valley Blvd, Pomona, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093278889
  • Provider Enumeration Date: 04/09/2019
  • Last Update Date: 04/09/2019

Medical Identifiers

Medical identifiers for Carolyn Fasakin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093278889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 760974 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Fasakin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn Fasakin,
16260 Wind Forest Way,
Chino Hills, CA 91709-4649

Ph: (909) 569-9491
Carolyn Fasakin,
2180 Valley Blvd,
Pomona, CA 91768-3325

Ph: (909) 865-2336

Reviews and Comments


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