Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jan Raymond Vicencio, NP

Individual provider Adult Health Nurse Practitioner · NPI 1295109304

Jan Raymond Vicencio, NP is an Adult Health Nurse Practitioner in Newport Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2901 W Coast Hwy Ste 200
Newport Beach, CA 92663-4023
Phone: (562) 229-4813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95003057 (CA)

Record details

NPI number1295109304
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 1, 2015
Last updated in NPPESFebruary 2, 2016

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