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General NPI Number Information
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NPI Number | 1033507876
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Entity Type | Individual
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Provider Name | ONOFRE GASMEN AYROSO DNP, AG-ACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/01/2015
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 5900 COYLE AVE STE B
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City | CARMICHAEL
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State | CA
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Zip | 95608-0400
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Country | US
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Telephone | 916-515-8855
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Fax | 916-993-9611
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Provider Business Mailing Address
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Address Line | 5156 BRENTFORD WAY
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-8032
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Country | US
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Telephone | 401-662-0484
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Fax | 916-993-9611
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN00014
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2265262
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95004482
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License Number State | CA
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