Healthcare Provider Details

I. General information

NPI: 1285579896
Provider Name (Legal Business Name): OSCAR YSLETA REGISTERED NURSE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 ANDREGG RD
AUBURN CA
95603-9497
US

IV. Provider business mailing address

2075 ANDREGG RD
AUBURN CA
95603-9497
US

V. Phone/Fax

Practice location:
  • Phone: 916-765-5330
  • Fax:
Mailing address:
  • Phone: 916-765-5330
  • Fax: 916-765-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number452330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: