ALLAIN JULIAN CAMANAG VICTORIANO RN PHN AGPCNP-BC NPI 1558807024

NPI Information

  • NPI: 1558807024
  • Provider Name: ALLAIN JULIAN CAMANAG VICTORIANO, RN, PHN, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10000 LAKEWOOD BLVD
    DOWNEY, CA
    ZIP 90240
  • Phone: (562) 862-3684

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NPI Details

Allain Julian Camanag Victoriano, RN, PHN, AGPCNP-BC is a primary care nurse practitioner in Downey, CA. Allain Julian Camanag Victoriano, RN, PHN, AGPCNP-BC NPI is 1558807024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10000 LAKEWOOD BLVD
DOWNEY, CA
ZIP 90240-020
Phone: (562) 862-3684

The NPI 1558807024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 8/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral Practice95173882CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramCALIFORNIANo
3363LP2300XNurse PractitionerPrimary Care95026004CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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