Healthcare Provider Details

I. General information

NPI: 1144530817
Provider Name (Legal Business Name): ARIC DAIN MAYER ANP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 01/24/2026
Certification Date: 01/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W VALLEY PKWY STE 100
ESCONDIDO CA
92025-2557
US

IV. Provider business mailing address

800 W VALLEY PKWY STE 100
ESCONDIDO CA
92025-2557
US

V. Phone/Fax

Practice location:
  • Phone: 800-797-2050
  • Fax:
Mailing address:
  • Phone: 800-797-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRXN.0100320-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0202901
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95010108
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number95142228
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0990294-NP
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5004909
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: