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

Stacy Moraa Ombogo

Individual provider Licensed Vocational Nurse · NPI 1417582628

Stacy Moraa Ombogo is a Licensed Vocational Nurse in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

7166 N Fruit Ave Apt 120
Fresno, CA 93711-0744
Phone: (559) 972-7489
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 282878 (CA)

Record details

NPI number1417582628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 8, 2020
Last updated in NPPESMarch 8, 2020
Certification dateMarch 8, 2020
Mailing address7166 N Fruit Ave Apt 120, Fresno, CA 93711-0744

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