Healthcare Provider Details

I. General information

NPI: 1902188303
Provider Name (Legal Business Name): CAITLIN MARIE BRICKMAN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 DESCANSO AVE
SAN MARCOS CA
92078-2514
US

IV. Provider business mailing address

2364 MOONLIGHT GLN
ESCONDIDO CA
92026-3845
US

V. Phone/Fax

Practice location:
  • Phone: 760-280-2230
  • Fax:
Mailing address:
  • Phone: 619-300-0422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95006443
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95006443
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: