Healthcare Provider Details

I. General information

NPI: 1427973999
Provider Name (Legal Business Name): VANESSA ROMAN ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S HALE AVE SPC 54
ESCONDIDO CA
92029-2177
US

IV. Provider business mailing address

9760 MARILLA DR APT 24
LAKESIDE CA
92040-2824
US

V. Phone/Fax

Practice location:
  • Phone: 858-729-8295
  • Fax:
Mailing address:
  • Phone: 951-432-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: