Erica Renita O'Connor

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

14344 Cajon Ave Ste 102
Victorville, CA 92392-4301

Phone

(760) 243-3999

Fax

(760) 256-0537

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1124651500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14344 CAJON AVE STE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923924301",
            "telephone_number": "760-243-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14344 CAJON AVE STE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923924301",
            "telephone_number": "760-243-3999",
            "fax_number": "760-256-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "ERICA",
        "middle_name": "RENITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina L Nunez
• Ijeoma Obiageli Nwokenna, B.PHARM
• Charles Nwufo, MFTI
• Brian Nyamwange, PHARMD
• Carri Lynn O'Connell
• Chere Ann O'Grady, P.A-C
• Karen Lynne O'Rear II
• Kevin O'Rourke
• Oak & Vale Care Inc.
• Oasis Dermatology, Inc

• Community Health Worker in Victorville, CA
• Providers in Victorville, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.