Healthcare Provider Details

I. General information

NPI: 1912310020
Provider Name (Legal Business Name): MS. ERIN RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN RAMIREZ CPNP

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 VISTA WAY STE 130
OCEANSIDE CA
92056-4565
US

IV. Provider business mailing address

3605 VISTA WAY SUITE 130
OCEANSIDE CA
92056
US

V. Phone/Fax

Practice location:
  • Phone: 760-547-1010
  • Fax:
Mailing address:
  • Phone: 760-547-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95000183
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number95000183
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: