DANICA-ELLA M PANTOJA FNP-BC NPI 1457860074

NPI Information

NPI: 1457860074
Provider Name: DANICA-ELLA M PANTOJA, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
10251 VISTA SORRENTO PKWY STE 280
SAN DIEGO, CA
ZIP 92121
Phone: (888) 380-0988
Get Directions

Danica-ella M Pantoja, FNP-BC is a family nurse practitioner in San Diego, CA with 7 years of experience. Danica-ella M Pantoja, FNP-BC NPI is 1457860074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10251 VISTA SORRENTO PKWY STE 280
SAN DIEGO, CA
ZIP 92121-776
Phone: (888) 380-0988
Fax: (289) 236-3022

The NPI 1457860074 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2017 and was last updated on 11/23/2021.

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
1	363LF0000X	Nurse Practitioner	Family	95016725	CALIFORNIA	Yes
2	163W00000X	Registered Nurse		0001219626	VIRGINIA	No
3	363L00000X	Nurse Practitioner		AC002184	MARYLAND	No
4	163W00000X	Registered Nurse		RN1017188	DISTRICT OF COLUMBIA	No
5	363L00000X	Nurse Practitioner		00024175615	VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2017011092	MEDICAID	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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