Healthcare Provider Details

I. General information

NPI: 1336724111
Provider Name (Legal Business Name): NATASHA NICOLE FERRER-PEREZ BSN, RN, PHN, CEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATASHA NICOLE FERRER PEREZ BSN, RN, PHN, CEN

II. Dates (important events)

Enumeration Date: 03/13/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 ROSECRANS ST
SAN DIEGO CA
92110-3115
US

IV. Provider business mailing address

3851 ROSECRANS ST
SAN DIEGO CA
92110-3115
US

V. Phone/Fax

Practice location:
  • Phone: 619-531-5800
  • Fax: 619-542-4186
Mailing address:
  • Phone: 619-531-5800
  • Fax: 619-542-4186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberE090739
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95191847
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: