Provider Demographics
NPI:1881366656
Name:PARDO, ERIKA G (NP)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:G
Last Name:PARDO
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4035 S RIVERPOINT PKWY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-0723
Mailing Address - Country:US
Mailing Address - Phone:844-937-8679
Mailing Address - Fax:
Practice Address - Street 1:250 E RINCON ST STE 106
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1363
Practice Address - Country:US
Practice Address - Phone:951-339-8459
Practice Address - Fax:951-339-8461
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95020929363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA825511OtherBRN