HOLOCENE NURSING PRACTICE PC NPI 1275449860

NPI Information

  • NPI: 1275449860
  • Provider Name: HOLOCENE NURSING PRACTICE PC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 18523 CAMINITO PASADERO UNIT 354
    SAN DIEGO, CA
    ZIP 92128
  • Phone: (619) 853-5578

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NPI Details

HOLOCENE NURSING PRACTICE PC is a psychiatric/mental health nurse practitioner in San Diego, CA. HOLOCENE NURSING PRACTICE PC NPI is 1275449860. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18523 CAMINITO PASADERO UNIT 354
SAN DIEGO, CA
ZIP 92128-071
Phone: (619) 853-5578
Fax: (619) 830-5132

The provider's authorized official is Crystaloren Gomez .
The authorized official title is President and has the following contact phone number (708) 830-4575.

The enumeration date for this NPI number is 8/22/2026 and was last updated on 8/22/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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