Healthcare Provider Details
I. General information
NPI: 1609766443
Provider Name (Legal Business Name): ERIKA PINA VASQUEZ I N/A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 E SAN JOAQUIN ST STE 102
SALINAS CA
93901-2946
US
IV. Provider business mailing address
109 CASENTINI ST APT B
SALINAS CA
93907-2152
US
V. Phone/Fax
- Phone: 831-393-5994
- Fax: 831-998-8704
- Phone: 831-297-0038
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: