Individual provider Active NPI

Eric Jay Storey, FNP-BC

  • Primary Care Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1205598984
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95019667 Issued in CA
Practice address
10737 Camino Ruiz
San Diego, CA 92126-2359
Phone
(844) 200-2426
Fax
(619) 474-4008
NPI assigned
Oct 9, 2021
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95019667 CA Primary

Addresses

Primary practice location

10737 Camino Ruiz
San Diego, CA 92126-2359

Mailing address

637 3Rd Ave
Chula Vista, CA 91910-5707
Phone (844) 200-2426

Other practice location 1

2743 Highland Ave
National City, CA 91950-7410
Phone (844) 200-2426

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
I20221205002556 CA Practitioner - Nurse Practitioner 5890164396 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medica de la Mora Inc Multi-Specialty CurrentSince Oct 12, 2022 Accepting new patients
Operation Samahan, Inc. Multi-Specialty Current Accepting new patients
Operation Samahan Inc PastSince Jul 22, 2025 Accepting new patients
Operation Samahan, Inc. Dba Opsam Health PastSince Jun 15, 2025 Accepting new patients

Locations

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

2743 Highland Ave
National City, CA 91950
Phone (619) 474-2284

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

995 Gateway Center Way
Ste 202
San Diego, CA 92102
Phone (619) 264-3107

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1205598984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262359",
            "telephone_number": "844-200-2426",
            "fax_number": "619-474-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2743 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919507410",
            "country_code": "US",
            "telephone_number": "844-200-2426",
            "fax_number": "619-474-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOREY",
        "first_name": "ERIC",
        "middle_name": "JAY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-09",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95019667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.