This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / CA
NURSE PRACTITIONER
Graduated: 2021
NPI: 1316615313
1501 IMPERIAL AVE
SAN DIEGO, CA 921017638
8390 CHAMPIONS GATE BLVD, SUITE 220
CHAMPIONS GATE, FL 338968310
PO BOX, SUITE 5426
PORTLAND, OR 972285426
Source: CMS National Downloadable File, September 2026.