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NPI Code Detail

MEDICARE: ERICA PELAYO

MEDICARE: ERICA PELAYO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse754104CA

General Provider Information

NPI Number : 1346181955
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA PELAYO
Provider Business Mailing Address
First Line : 3990 INDUSTRIAL BLVD
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3430
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3990 INDUSTRIAL BLVD
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3430
Country : US
Telephone Number : 916-796-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ ERICA PELAYO ” Practice Location

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