JETH JUSTINE TANCIOCO
NPI 1720667983
Licensed Vocational Nurse in Newark, CA

Q: What is Jeth Tancioco's NPI number?

The NPI number for Jeth Tancioco is 1720667983. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Jeth Tancioco'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 Jeth Tancioco was last updated on April 5, 2021. 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 April 05, 2021

36823 RUSCHIN DR, NEWARK, CA 94560(510) 701-6393 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeth Justine Tancioco NPPES

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

JETH JUSTINE TANCIOCO (NPI 1720667983) is an individual licensed vocational nurse in Newark, California, licensed in California (684271) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1720667983

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameJETH JUSTINE TANCIOCO

Location Address36823 RUSCHIN DRNewark, CA 94560-3142

Mailing Address36823 Ruschin DrNewark, CA 94560-3142 · (510) 701-6393

Phone(510) 701-6393

Sole ProprietorNo

Enumeration DateApril 5, 2021

NPPES CertifiedApril 5, 2021

✔ NPI 1720667983 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 · 684271

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.

36823 RUSCHIN DR, Newark, CA 94560

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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 Jeth Tancioco's NPI number?

The NPI number for Jeth Tancioco is 1720667983. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Jeth Tancioco located?

Jeth Tancioco practices at 36823 Ruschin Dr, Newark, CA 94560. The listed phone number is (510) 701-6393.

What is Jeth Tancioco'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 Jeth Tancioco was last updated on April 5, 2021. 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.