Active NPI
Erica Ragen, PA-C
- Physician Assistant
- La Mesa, CA
National Provider Identifier
1124454426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA23240
- Practice address
- 8881 Fletcher Pkwy
La Mesa, CA 91942-3134 - Phone
- (213) 447-2314
- NPI assigned
- Sep 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA23240 | CA | Primary |
Addresses
Primary practice location
8881 Fletcher Pkwy
La Mesa, CA 91942-3134
Mailing address
PO Box 83665
San Diego, CA 92138-3665
Phone (213) 447-2314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23240 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1124454426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83665",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921383665",
"telephone_number": "213-447-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423134",
"telephone_number": "213-447-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGEN",
"first_name": "ERICA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA23240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.