Augustine Provencio, MS
NPI 1629810270 · Psychologist · Los Angeles, CA
Augustine Provencio, MS is a Psychologist provider in Los Angeles, CA (NPI 1629810270).
Provider details
- NPI number
- 1629810270
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- MS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Augustine Provencio's NPI number?
- Augustine Provencio's National Provider Identifier (NPI) is 1629810270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Augustine Provencio's specialty?
- Augustine Provencio is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Augustine Provencio located?
- Augustine Provencio's practice location on file with NPPES is 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062.
- What is Augustine Provencio's phone number?
- The practice phone number listed in the NPPES registry for Augustine Provencio is (323) 361-3849.
- Is Augustine Provencio's NPI active?
- Yes — Augustine Provencio's NPI (1629810270) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.