Individual provider Active NPI

Corinne Patricio Pamulakalakin

  • Licensed Vocational Nurse
  • San Pablo, CA
National Provider Identifier
1962334482
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
735263 Issued in CA
Practice address
2417 Homestead Cir
San Pablo, CA 94806-5253
Phone
(510) 260-6582
Fax
(510) 260-6582
NPI assigned
Jun 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 735263 CA Primary

Addresses

Primary practice location

2417 Homestead Cir
San Pablo, CA 94806-5253

Mailing address

2417 Homestead Cir
San Pablo, CA 94806-5253
Phone (510) 260-6582

Other names 1

  • Corinne Patricio Former name

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

LicenseStateTypeSpecialty
735263CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1962334482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 HOMESTEAD CIR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948065253",
            "telephone_number": "510-260-6582",
            "fax_number": "510-260-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 HOMESTEAD CIR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948065253",
            "telephone_number": "510-260-6582",
            "fax_number": "510-260-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICIO PAMULAKALAKIN",
        "first_name": "CORINNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "735263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "PATRICIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.