Healthcare Provider Details

I. General information

NPI: 1699549956
Provider Name (Legal Business Name): ERICA ARIAS CONTRERAS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SOLAR DR STE 251
OXNARD CA
93030-0151
US

IV. Provider business mailing address

430 S SATICOY AVE
VENTURA CA
93004-2974
US

V. Phone/Fax

Practice location:
  • Phone: 805-278-0190
  • Fax:
Mailing address:
  • Phone: 805-832-7727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95027671
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: