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

Augie N. Provencio

Family Medicine Physician in Livingston, CA · enumerated 2007.

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

National Provider Identifier

1467590158

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Registry record

Entity type Individual (Type 1)

Name Augie N. Provencio

Sex Male

Practice address Livingston, CA, 95334

Phone (209) 850-3500

Enumeration date Feb 2, 2007

Last updated in NPPES Mar 23, 2022

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

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 36333 (AZ) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 3673 (AK) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License A48099 (CA) Primary

Other identifiers

Identifier	Type	State	Issuer
00A480990	Medicaid	CA	-
539497	Medicaid	AZ	-

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

What specialty is Augie Provencio?

Augie Provencio is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-23.