Healthcare Provider Details

I. General information

NPI: 1841157799
Provider Name (Legal Business Name): BRIANNA ALYSSA ESPINOSA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19498 ARCATA RD
APPLE VALLEY CA
92307-1505
US

IV. Provider business mailing address

19498 ARCATA RD
APPLE VALLEY CA
92307-1505
US

V. Phone/Fax

Practice location:
  • Phone: 760-680-7471
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95200389
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: