Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reggie Federico

Individual provider Licensed Vocational Nurse · NPI 1114649522

Reggie Federico is a Licensed Vocational Nurse in Moreno Valley, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

24941 Dracaea Ave
Moreno Valley, CA 92553-3777
Phone: (951) 579-6353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 E 11th St, Corona, CA 92879-2157 — (951) 427-3482

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 725020 (CA)

Record details

NPI number1114649522
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address109 E 11th St, Corona, CA 92879-2157

Other providers in Moreno Valley