Healthcare Provider Details

I. General information

NPI: 1972432300
Provider Name (Legal Business Name): NEXUS COMMUNITY PULSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25594 SIERRA LEONE CT
MORENO VALLEY CA
92551-2169
US

IV. Provider business mailing address

25594 SIERRA LEONE CT
MORENO VALLEY CA
92551-2169
US

V. Phone/Fax

Practice location:
  • Phone: 951-542-4149
  • Fax: 951-612-0139
Mailing address:
  • Phone: 951-542-4149
  • Fax: 951-612-0139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. SERGIO CASAREZ JR.
Title or Position: FOUNDER/CEO
Credential:
Phone: 951-542-4149