XAVIER JEREMIAH ERNST NP-C ABAAHP NPI 1780010595

NPI Information

NPI: 1780010595
Provider Name: XAVIER JEREMIAH ERNST, NP-C, ABAAHP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1792 GARNET AVE
SAN DIEGO, CA
ZIP 92109
Phone: (415) 745-0225
Get Directions

Xavier Jeremiah Ernst, NP-C, ABAAHP is a family nurse practitioner in San Diego, CA. Xavier Jeremiah Ernst, NP-C, ABAAHP NPI is 1780010595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1792 GARNET AVE
SAN DIEGO, CA
ZIP 92109-350
Phone: (415) 745-0225
Fax: (888) 960-9058

The NPI 1780010595 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 9/25/2013 and was last updated on 5/28/2022.

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	2019028369	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	A161882	IOWA	No
3	363LF0000X	Nurse Practitioner	Family	277001251	ILLINOIS	No
4	363LF0000X	Nurse Practitioner	Family	62149	NEW MEXICO	No
5	363LF0000X	Nurse Practitioner	Family	95002510	CALIFORNIA	Yes

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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