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

John Alexander Petrucci, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164193553

John Alexander Petrucci, DO is a Student in an Organized Health Care Education/Training Program in Moreno Valley, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

26520 Cactus Ave Rm B2042
Moreno Valley, CA 92555-3927
Phone: (951) 486-4698
Fax: (951) 486-4106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164193553
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 24, 2021
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

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