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JOHN ALEXANDER PETRUCCI DO
NPI 1164193553
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA

Active since September 24, 2021
26520 CACTUS AVE RM B2042, MORENO VALLEY, CA 92555(951) 486-4698(951) 486-4106 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2024, Sep 24, 2021 (2 updates tracked since 2021).

About John Alexander Petrucci Do NPPES

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

JOHN ALEXANDER PETRUCCI DO (NPI 1164193553) is an individual student in an organized health care education/training program in Moreno Valley, California and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1164193553
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN ALEXANDER PETRUCCICredential: DO
Location Address26520 CACTUS AVE RM B2042Moreno Valley, CA 92555-3927
Mailing Address26520 Cactus Ave Rm B2042Moreno Valley, CA 92555-3927 · (951) 486-4698 · Fax (951) 486-4106
Phone(951) 486-4698
Fax(951) 486-4106
Sole ProprietorNo
Enumeration DateSeptember 24, 2021
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1164193553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
26520 CACTUS AVE RM B2042, Moreno Valley, CA 92555
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Other Providers at the Same Location NPPES 3

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

KEVIN ZW KWAN DO
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE RM B2042
MORENO VALLEY, CA 92555
Riverside County (951) 486-4698
MARK BALICH DO
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE RM B2042
MORENO VALLEY, CA 92555
Riverside County (951) 486-4698
THOMAS STRASSER DO
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE RM B2042
MORENO VALLEY, CA 92555
Riverside County (951) 486-4698

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 John Petrucci's NPI number?

The NPI number for John Petrucci is 1164193553. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is John Petrucci located?

John Petrucci practices at 26520 Cactus Ave Rm B2042, Moreno Valley, CA 92555. The listed phone number is (951) 486-4698.

What is John Petrucci's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Petrucci was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.