Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Nisebho Kefelegn Fantaye, PA-C

Physician Assistant in Marysville, CA · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942875778

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Registry record

Entity type Individual (Type 1)

Name Nisebho Kefelegn Fantaye

Credential PA-C

Sex Male

Practice address Marysville, CA, 95901

Phone (530) 749-4300

Enumeration date May 24, 2021

Last updated in NPPES Sep 5, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 62852 (CA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Nisebho Fantaye's NPI record?

Cross-check NPI 1942875778 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1942875778 active?

Yes, as of the latest NPPES snapshot, NPI 1942875778 is active (record last updated 2023-09-05).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-05.