Joseph Johnny Provenzano JR. DO

  • NPI 1215993738
According to our database, the NPI number for Joseph Johnny Provenzano JR. DO is 1215993738 and activated since 18 years ago. Joseph Johnny Provenzano JR. DO is an individual provider who specializes in Family Medicine, and the primary practice location is 3612 Dale Rd, Modesto, CA 95356. You can also contact Joseph Johnny Provenzano JR. DO via telephone number is (209) 522-0146. Provider NPI information was last updated on 06/11/2019.

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Overview of Joseph Johnny Provenzano JR. DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/24/2006
  • Last updated: 06/11/2019

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 20A5427
  • License State: CA

Provider Mailing Address

  • Address: 10470 Old Placerville Rd Ste 100
    Sacramento, CA 95827
  • Phone: 800-470-0071
  • Fax:

Provider Practice Location

  • Address: 3612 Dale Rd
    Modesto, CA 95356
  • Phone: 209-522-0146
  • Fax:

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 20A5427
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00AX54270
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Joseph Johnny Provenzano JR. DO?
  • A: The npi number for Joseph Johnny Provenzano JR. DO is 1215993738.
  • Q: What are Joseph Johnny Provenzano JR. DO's specialties?
  • A: Joseph Johnny Provenzano JR. DO's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Joseph Johnny Provenzano JR. DO?
  • A: The medical license number for Joseph Johnny Provenzano JR. DO is 20A5427 and issued in CA in USA.
  • Q: Where is Joseph Johnny Provenzano JR. DO practice location?
  • A: Joseph Johnny Provenzano JR. DO is practicing at 3612 Dale Rd, Modesto, CA 95356.
  • Q: How to contact Joseph Johnny Provenzano JR. DO?
  • A: You can contact Joseph Johnny Provenzano JR. DO via 209-522-0146.