JON MICHAEL LAZALETA DUEY NPI 1881858868

NPI Information

  • NPI: 1881858868
  • Provider Name: JON MICHAEL LAZALETA DUEY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2105 MARTIN LUTHER KING JR WAY FL 1
    BERKELEY, CA
    ZIP 94704
  • Phone: (888) 588-8995

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NPI Details

Jon Michael Lazaleta Duey is a psychiatric/mental health nurse practitioner in Berkeley, CA. Jon Michael Lazaleta Duey NPI is 1881858868. 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:

2105 MARTIN LUTHER KING JR WAY FL 1
BERKELEY, CA
ZIP 94704-108
Phone: (888) 588-8995
Fax: (510) 756-0812

The enumeration date for this NPI number is 7/18/2008 and was last updated on 4/17/2025.

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
1101Y00000XCounselorNo
2163W00000XRegistered Nurse658352-1NEW YORKNo
3163W00000XRegistered Nurse95035248CALIFORNIANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health95001898CALIFORNIAYes

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: 11/21/2025

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