John Ver Francisco Prudencio

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

734104 Issued in CA

Practice address

9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592

Phone

(408) 465-8280

NPI assigned

Feb 11, 2025

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1922813476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 HALE AVE",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373547",
            "telephone_number": "408-465-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262592",
            "telephone_number": "408-465-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDENCIO",
        "first_name": "JOHN VER",
        "middle_name": "FRANCISCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "734104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Courtney Prott
• Robert Dean Prouty, LPT
• Matthew Provencio
• Christina Eve Provonsha, M.S.
• Kristian Proynov, MA, LMFT
• Maria G Pruett, LMFT
• Jacquelyn Shuron Pruitt, NP
• Kathryn Elisabeth Pruitt, B.A.
• Kenneth Rhashan Pruitt
• Mary Louise Pruitt, CADC II,ICADC

• Licensed Vocational Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.