Individual provider Active NPI

John Michael Pualengco

  • Registered Nurse
  • Oakley, CA
National Provider Identifier
1831093848
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95177903 Issued in CA
Practice address
816 Diamante Way
Oakley, CA 94561-6027
Phone
(650) 201-5879
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95177903 CA Primary

Addresses

Primary practice location

816 Diamante Way
Oakley, CA 94561-6027

Mailing address

816 Diamante Way
Oakley, CA 94561-6027
Phone (650) 201-5879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1831093848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 DIAMANTE WAY",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945616027",
            "telephone_number": "650-201-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 DIAMANTE WAY",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945616027",
            "telephone_number": "650-201-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUALENGCO",
        "first_name": "JOHN MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95177903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.