IndividualActive
Jacquelyn Banouvong
NPI 1851036073 · Specialist · Daly City, CA
Jacquelyn Banouvong is a Specialist provider in Daly City, CA (NPI 1851036073).
Provider details
- NPI number
- 1851036073
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3 Morton Dr
Daly City, CA 94015-4415
Phone: (415) 407-0561
Street-level locationGet directions
Mailing address
3 Morton Dr
Daly City, CA 94015-4415
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2022-05-02
- Certified
- 2022-05-02
Frequently asked questions
- What is Jacquelyn Banouvong's NPI number?
- Jacquelyn Banouvong's National Provider Identifier (NPI) is 1851036073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Banouvong's specialty?
- Jacquelyn Banouvong is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jacquelyn Banouvong located?
- Jacquelyn Banouvong's practice location on file with NPPES is 3 Morton Dr, Daly City, CA 94015-4415.
- What is Jacquelyn Banouvong's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Banouvong is (415) 407-0561.
- Is Jacquelyn Banouvong's NPI active?
- Yes — Jacquelyn Banouvong's NPI (1851036073) is active in the NPPES registry as of the last update on 2022-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.