Ivita, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002919 Issued in CA

Legal business name

IVITA, LLC

Practice address

590 Rancho de Oro Rd
Escondido, CA 92026-3926

Phone

(888) 322-6432

Fax

(888) 329-6432

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Myrna Razo, FNP-BC

Title

Owner

Phone

(888) 322-6432

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1174063317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 RANCHO DE ORO RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263926",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 RANCHO DE ORO RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263926",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "RAZO",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-322-6432",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrielle Irwin
• Kristina Nicole Irwin, LCSW
• Rudy Michael Isaguirre, MD
• Jaylan Ishac
• Maryam Isordia Bernes, DDS
• Ivy Dell Ranch
• Anushka Iyer
• Aisha Jabarkhiel
• Autumn Lynn Jackson
• Frederic Leslie Jackson, DO, MPH

• Family Nurse Practitioner in Escondido, CA
• Providers in Escondido, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.