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PROTOTYPES
NPI 1659654986
Licensed Vocational Nurse in Pasadena, CA

Active since September 22, 2011
2555 E. COLORADO BLVD, SUITE 100-101, PASADENA, CA 91107(626) 577-2543 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Prototypes NPPES

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

PROTOTYPES (NPI 1659654986) is a healthcare organization registered as a licensed vocational nurse in Pasadena, California and active in the NPI registry since September 2011. The organization lists Jeffery Havig, Psychiatric Nurse, as its authorized official.

NPPES Registry Identity

NPI1659654986
Entity TypeOrganization
Primary Taxonomy164X00000X
Legal Business NamePROTOTYPES
Location Address2555 E. COLORADO BLVD, SUITE 100-101Pasadena, CA 91107
Mailing Address831 East Arrow HighwayPomona, CA 91767 · (909) 398-4383 · Fax (909) 398-0127
Phone(626) 577-2543
Organization SubpartNo
Authorized OfficialJeffery HavigPsychiatric Nurse · (909) 398-4383
Enumeration DateSeptember 22, 2011
Last NPPES UpdateJune 28, 2013
✔ NPI 1659654986 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 · VN240811
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.
2555 E. COLORADO BLVD, Pasadena, CA 91107
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Prototypes's NPI number?

The NPI number for Prototypes is 1659654986. It was assigned to this organization in the NPPES registry on September 22, 2011.

Where is Prototypes located?

Prototypes is located at 2555 E. Colorado Blvd Suite 100-101, Pasadena, CA 91107. The listed phone number is (626) 577-2543.

What is Prototypes'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 Prototypes was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.