JON CARLO BANAAG
NPI 1609653963
Licensed Vocational Nurse in Riverside, CA

Q: What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since September 11, 2023

10001 COUNTY FARM RD, RIVERSIDE, CA 92503(909) 421-7120 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jon Carlo Banaag NPPES

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

JON CARLO BANAAG (NPI 1609653963) is an individual licensed vocational nurse in Riverside, California, licensed in California (724480) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1609653963

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameJON CARLO BANAAG

Location Address10001 COUNTY FARM RDRiverside, CA 92503-3507

Mailing Address18612 Santa Ana AveBloomington, CA 92316-2639

Phone(909) 421-7120

Sole ProprietorNo

Enumeration DateSeptember 11, 2023

NPPES CertifiedSeptember 11, 2023

✔ NPI 1609653963 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 · 724480

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.

10001 COUNTY FARM RD, Riverside, CA 92503

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