Individual provider Active NPI

Erinn Lewis Degracia, FNP

  • Family Nurse Practitioner
  • Vista, CA
National Provider Identifier
1043729825
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007534 Issued in CA
Practice address
145 Thunder Dr
Vista, CA 92083-6010
Phone
(760) 941-9002
Fax
(760) 630-2515
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007534 CA Primary

Addresses

Primary practice location

145 Thunder Dr
Vista, CA 92083-6010

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

2067 W Vista Way Ste 200
Vista, CA 92083-6033
Phone (760) 726-2180

Other practice location 2

4618 Fountain Ave
Los Angeles, CA 90029-1977
Phone (323) 953-7170

Other practice location 3

4816 E 3rd St
Los Angeles, CA 90022-1602
Phone (323) 780-4510

Other practice location 4

150 N Reno St
Los Angeles, CA 90026-4656
Phone (213) 380-7298 ext. 5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301001308 CA Practitioner - Nurse Practitioner 4688935984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

Practice addresses (Care Compare)

145 Thunder Dr
Vista, CA 92083-6010
Phone (760) 941-9002

Hospital & facility affiliations

  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007534CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 18, 2019 Accepting new patients
Centers for Family Medicine GP CurrentSince Oct 6, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 18, 2019 Accepting new patients
Beaver Medical Group P C CurrentSince Feb 7, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Feb 7, 2023 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Beaver Medical Group P C Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

9810 Las Tunas Dr
Temple City, CA 91780
Phone (626) 309-7600

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

2067 W Vista Way
Ste 280
Vista, CA 92083
Phone (760) 941-1440

2067 W Vista Way
Ste 200
Vista, CA 92083
Phone (760) 726-2180

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ecarusetta21931@epiclp.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1043729825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 THUNDER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836010",
            "telephone_number": "760-941-9002",
            "fax_number": "760-630-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2067 W Vista Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920836033",
            "country_code": "US",
            "telephone_number": "760-726-2180",
            "fax_number": "760-726-9928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4618 Fountain Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900291977",
            "country_code": "US",
            "telephone_number": "323-953-7170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4816 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900221602",
            "country_code": "US",
            "telephone_number": "323-780-4510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N Reno St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900264656",
            "country_code": "US",
            "telephone_number": "213-380-7298 x5248",
            "fax_number": "213-385-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGRACIA",
        "first_name": "ERINN",
        "middle_name": "LEWIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.