Gabriel Espana Ixtlilco, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95259260 Issued in CA

Practice address

3853 Rosecrans St
San Diego, CA 92110-3115

Phone

(619) 615-0439

NPI assigned

Apr 20, 2022

Last updated

Mar 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gabriel Espana Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1104560747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 B ST STE 1570",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-615-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPANA IXTLILCO",
        "first_name": "GABRIEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95259260",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95259260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIEL",
            "last_name": "ESPANA",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fariha Esmail, MD
• Pearl Grace Nacionales Esmalla
• Maria Lourdes Fernandez Eso
• Esoterix, Inc
• Espacio Individual and Family Therapy, Inc.
• Vanessa Thea Espanola
• Itzel Esparza Esparza, MS, RDN
• Karina Esparza Quintanilla
• Adriana Esparza
• Alejandro Cristian Esparza

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.