Healthcare Provider Details

I. General information

NPI: 1205773272
Provider Name (Legal Business Name): VARRIN PSYCHIATRIC NURSING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3291 OLD BRIDGEPORT WAY
SAN DIEGO CA
92111-7733
US

IV. Provider business mailing address

3291 OLD BRIDGEPORT WAY
SAN DIEGO CA
92111-7733
US

V. Phone/Fax

Practice location:
  • Phone: 858-642-5026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MA ROSA NIKA VARRIN
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 858-642-5026