JOHN ALEXANDER PETRUCCI DO
NPI 1164193553
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA
- Individual
- Male
- Student in an Organized Health Care Educ...
About JOHN PETRUCCI
This page provides the complete NPI Profile along with additional information for John Petrucci, a primary care provider established in Moreno Valley, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1164193553 assigned on September 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated June 2026.
- NPI
- 1164193553 Verify this NPI
- Provider Name
- JOHN ALEXANDER PETRUCCI DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 26520 CACTUS AVE RM B2042 MORENO VALLEY, CA 92555
- Location Phone
- (951) 486-4698
- Location Fax
- (951) 486-4106
- Mailing Address
- 26520 CACTUS AVE RM B2042 MORENO VALLEY, CA 92555
- Mailing Phone
- (951) 486-4698
- Mailing Fax
- (951) 486-4106
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-24-2021
- Last Update Date
- 06-24-2026
- Code Navigator
A primary care provider (PCP) like John Petrucci sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
MORENO VALLEY, CA 92555
MORENO VALLEY, CA 92555
MORENO VALLEY, CA 92555
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164193553, enumerated as an "individual" on September 24, 2021.
The provider is located at 26520 CACTUS AVE RM B2042 MORENO VALLEY, CA 92555 and the phone number is (951) 486-4698.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
