Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERNARD KEOVORAVONGSA
ActiveBERNARD KEOVORAVONGSA is a Community Health Worker healthcare provider located in FAIRFIELD, California. NPI 1992294177 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · FAIRFIELD, CA
Registration Details
- NPI Number
- 1992294177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2018 (8.3031582487266 yrs)
- Last Updated
- May 6, 2025
- License
-
RBT-18-54877 (CA)
Practice Information
- Address
-
275 BECK AVEFAIRFIELD, CA, 945336804Browse CA providers · Browse ZIP 94533
- Phone
- 7077848849
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Adult Companion
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in FAIRFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| AVERY ERIC ELIAS | MHSII | 1407057102 |
| MS. RASHEENA MOORE | MEDICAL ASSISTANCE | 1730357146 |
| PHILIP THROWER | — | 1467622217 |
| BRIDGET CARTER | — | 1326327081 |
| KATIE FRANCES ANNE STUHLMACHER | — | 1285907402 |
| TERRENCE HEWITT | — | 1427414820 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.