Active NPI
Dustin Lee Pruitt, AGACNP-BC
- Acute Care Nurse Practitioner
- Compton, CA
National Provider Identifier
1144198227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95036000
- Practice address
- 14 Edgemont
Compton, CA 90221-3824 - Phone
- (619) 948-5934
- NPI assigned
- Oct 29, 2025
- Last updated
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95036000 | CA | Primary |
Addresses
Primary practice location
14 Edgemont
Compton, CA 90221-3824
Mailing address
14 Edgemont
Compton, CA 90221-3824
Phone (619) 948-5934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95036000 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1144198227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 EDGEMONT",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213824",
"telephone_number": "619-948-5934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 EDGEMONT",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213824",
"telephone_number": "619-948-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "DUSTIN",
"middle_name": "LEE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95036000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Compton, CA
- Brianna Faronda Prater
- Prime Performance Health D.B.a. Hitting the Right Note
- Angelica Prince
- Priority Health Care Services Inc.
- Prohealth Partners a Medical Group Inc
- Guadalupe Puentes, CNA
- Deontray Pugh
- Neerja Puri, M.D.
- Quiclinics Medical Partners (Quiclincs Medical Partners)
- Anthony Jerome Quiette
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.