Jamie Michelle Lalis Prudencio

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

3200 W Temple St Ste 100
Los Angeles, CA 90026-7372

Phone

(213) 382-1819

NPI assigned

May 14, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Search to Involve Pilipino Americans

  • Case Manager/Care Coordinator
  • Los Angeles, CA
  • NPI 1518731652
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1427807239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W TEMPLE ST STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W TEMPLE ST STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267372",
            "telephone_number": "213-382-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDENCIO",
        "first_name": "JAMIE MICHELLE",
        "middle_name": "LALIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pigeon Provost
• William Provosty, MD
• PRT RX, Inc.
• Meagan Victoria Jean Pruden, PMHNP-BC
• Brenda Maria Prudencio, MA
• Jerome Prudencio Jr.
• Naytzari Jacqueline Prudencio
• Prudent Decisions Inc.
• Prudent Home Health Care, Inc.
• Prudent Medical Group, Inc.

• Day Training/Habilitation Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.