What is Paul Provencio's NPI number?

Paul Provencio's National Provider Identifier (NPI) is 1245562743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Paul Provencio's specialty?

Paul Provencio is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Paul Provencio located?

Paul Provencio's practice location on file with NPPES is 9400 Ruffin Ct, San Diego, CA 92123-5300.

What is Paul Provencio's phone number?

The practice phone number listed in the NPPES registry for Paul Provencio is (858) 514-4867.

Is Paul Provencio's NPI active?

Yes — Paul Provencio's NPI (1245562743) is active in the NPPES registry as of the last update on 2010-02-08.

IndividualActive

Paul Provencio

NPI 1245562743 · Social Worker · San Diego, CA

Paul Provencio is a Social Worker provider in San Diego, CA (NPI 1245562743).

Provider details

NPI number: 1245562743
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No
License: 23582 (CA)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 23582 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9400 Ruffin Ct

San Diego, CA 92123-5300

Phone: (858) 514-4867

Street-level locationGet directions

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Mailing address