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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jan Raymond Vicencio, N.P.

Adult Health Nurse Practitioner in Newport Beach, CA · enumerated 2015 · practices at Crescent Moon Recovery Newport Beach.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295109304

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Registry record

Entity type Individual (Type 1)
Name Jan Raymond Vicencio
Credential N.P.
Sex Male
Practice address Newport Beach, CA, 92663
Phone (562) 229-4813
Enumeration date Dec 1, 2015
Last updated in NPPES Feb 2, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 95003057 (CA) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jan Vicencio's NPI record?
Cross-check NPI 1295109304 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1295109304 active?
Yes, as of the latest NPPES snapshot, NPI 1295109304 is active (record last updated 2016-02-02).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-02.