Healthcare Provider Details

I. General information

NPI: 1881366656
Provider Name (Legal Business Name): ERIKA G PARDO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E RINCON ST STE 106
CORONA CA
92879-1363
US

IV. Provider business mailing address

4035 S RIVERPOINT PKWY
PHOENIX AZ
85040-0723
US

V. Phone/Fax

Practice location:
  • Phone: 951-339-8459
  • Fax: 951-339-8461
Mailing address:
  • Phone: 844-937-8679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP95020929
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: