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NPI Code Detail

MEDICARE: MRS. TIARA CHRISTINE ESANI P.A.

MEDICARE: MRS. TIARA CHRISTINE ESANI P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA20520CA

General Provider Information

NPI Number : 1902130842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TIARA CHRISTINE ESANI P.A.
Provider Business Mailing Address
First Line : 10790 RANCHO BERNARDO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-5705
Country : US
Telephone Number : 858-554-7272
Fax Number :
Provider Business Practice Location Address
First Line : 15004 INNOVATION DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3491
Country : US
Telephone Number : 858-554-7272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2009
Last Update Date : 06/08/2026

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