MEDICARE: RAKIATU E SANUSI-FIKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	626522	CA

General Provider Information

NPI Number	:	1235094954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAKIATU E SANUSI-FIKE

Provider Business Mailing Address
First Line	:	405 W 5TH ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92701-4599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 W 5TH ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92701-4599
Country	:	US
Telephone Number	:	562-965-0242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “ RAKIATU E SANUSI-FIKE ” Practice Location

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