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

Jon Carlo Banaag

Individual provider Licensed Vocational Nurse · NPI 1609653963

Jon Carlo Banaag is a Licensed Vocational Nurse in Riverside, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

10001 County Farm Rd
Riverside, CA 92503-3507
Phone: (909) 421-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 724480 (CA)

Record details

NPI number1609653963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address18612 Santa Ana Ave, Bloomington, CA 92316-2639

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