RUEBEN BRACAMONTE
NPI 1497293393
Licensed Vocational Nurse in Fresno, CA

Q: What is Rueben Bracamonte's NPI number?

The NPI number for Rueben Bracamonte is 1497293393. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Q: What is Rueben Bracamonte's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rueben Bracamonte was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 10, 2017

3855 N WEST AVE, FRESNO, CA 93705(559) 274-0299 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2020, Feb 10, 2017 (2 updates tracked since 2017).

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About Rueben Bracamonte NPPES

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

RUEBEN BRACAMONTE (NPI 1497293393) is an individual licensed vocational nurse in Fresno, California, licensed in California (258202) and active in the NPI registry since February 2017. He maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1497293393

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameRUEBEN BRACAMONTE

Location Address3855 N WEST AVEFresno, CA 93705-2759

Mailing Address258 N Blackstone AveFresno, CA 93701-1913 · (559) 274-0299

Phone(559) 274-0299

Sole ProprietorNo

Enumeration DateFebruary 10, 2017

Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1497293393 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 · 258202

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.

3855 N WEST AVE, Fresno, CA 93705

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Secondary Practice Location 1

Location 1258 N Blackstone AveFresno, CA 93701-1913 · Phone (559) 274-0299

Other Providers at the Same Location NPPES 19

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

DOMINICK GEDDERT

Counselor