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PHONMANY PHENGPHAVONG
NPI 1043849847
Licensed Vocational Nurse in Perris, CA

Active since April 03, 2020
1688 N PERRIS BLVD, PERRIS, CA 92571(951) 443-2200 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phonmany Phengphavong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHONMANY PHENGPHAVONG (NPI 1043849847) is an individual licensed vocational nurse in Perris, California, licensed in California (287603) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1043849847
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NamePHONMANY PHENGPHAVONG
Location Address1688 N PERRIS BLVDPerris, CA 92571-4709
Mailing Address2982 Bautista StRiverside, CA 92506-4293 · (951) 224-2620
Phone(951) 443-2200
Sole ProprietorYes
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1043849847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 287603
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
1688 N PERRIS BLVD, Perris, CA 92571
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Other Identifiers 1

MedicaidOTHERCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY ELIZABETH TOVAR B.A.
Case Manager/Care Coordinator
1688 N PERRIS BLVD, STE L7-L11
PERRIS, CA 92571
Riverside County (951) 443-2200
MORRIS SHIHHAO LAI RPH
Pharmacist
1688 N PERRIS BLVD
PERRIS, CA 92571
Riverside County (951) 943-6868
EDINA RADAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1688 N PERRIS BLVD
PERRIS, CA 92571
Riverside County (951) 943-6868
MS. MYRNA JACQUELINE HUERTA MSW
Social Worker (Clinical)
1688 N PERRIS BLVD, SUITE L1-2
PERRIS, CA 92571
Riverside County (951) 943-1130
BRYANT TRAN TRUONG PHARMD
Pharmacist
1688 N PERRIS BLVD
PERRIS, CA 92571
Riverside County (951) 943-6868
MATTHEW DAVID ANDERSON MFT
Marriage & Family Therapist
1688 N PERRIS BLVD
PERRIS, CA 92571
Riverside County (951) 443-2200
DALBIR KAUR
Pharmacist
1688 N PERRIS BLVD
PERRIS, CA 92571
Riverside County (614) 598-8278
BELINDA JOYCE CONTOPULOS
Case Manager/Care Coordinator
1688 N PERRIS BLVD, SUITE L 7-11
PERRIS, CA 92571
Riverside County (951) 443-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phonmany Phengphavong's NPI number?

The NPI number for Phonmany Phengphavong is 1043849847. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Phonmany Phengphavong located?

Phonmany Phengphavong practices at 1688 N Perris Blvd, Perris, CA 92571. The listed phone number is (951) 443-2200.

What is Phonmany Phengphavong's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Phonmany Phengphavong was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.