Provider Demographics
NPI:1265250559
Name:KARIKITAN, XAVIER IAN (MSN, RN)
Entity type:Individual
Prefix:MR
First Name:XAVIER
Middle Name:IAN
Last Name:KARIKITAN
Suffix:
Gender:M
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2443 N BEECHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92377-4240
Mailing Address - Country:US
Mailing Address - Phone:626-241-8530
Mailing Address - Fax:
Practice Address - Street 1:2443 N BEECHWOOD AVE
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92377-4240
Practice Address - Country:US
Practice Address - Phone:626-241-8530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA827507163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse