Jerome Prudencio
NPI 1669082434 · Other Technician · Los Angeles, CA
Jerome Prudencio is a Other Technician provider in Los Angeles, CA (NPI 1669082434).
Provider details
- NPI number
- 1669082434
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-08-05
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Jerome Prudencio's NPI number?
- Jerome Prudencio's National Provider Identifier (NPI) is 1669082434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerome Prudencio's specialty?
- Jerome Prudencio is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Jerome Prudencio located?
- Jerome Prudencio's practice location on file with NPPES is 145 S Fairfax Ave Fl 2, Los Angeles, CA 90036-2166.
- What is Jerome Prudencio's phone number?
- The practice phone number listed in the NPPES registry for Jerome Prudencio is (310) 502-8089.
- Is Jerome Prudencio's NPI active?
- Yes — Jerome Prudencio's NPI (1669082434) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.