Erica Bristol, FNP
Individual provider Active NPI Family Nurse Practitioner · Manhattan Beach, CA
NPI 1386155299 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1386155299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95007713 (CA)
- Practice address
- 1240 Rosecrans Ave Ste 120
Manhattan Beach, CA 90266-2558 - Phone
- (310) 658-3775
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523000360 | CA | Practitioner - Nurse Practitioner | 0648645275 | Reassigns benefits to 2 organizations |
| I20230607001234 | OK | Practitioner - Nurse Practitioner | 0648645275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sansum Clinic | Current |
Accepting new patients | |
| Sansum Clinic | Current |
Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients | |
| Greater Good Health PC, Inc. | Past |
Accepting new patients |
Locations
215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765
317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007713 | CA | Yes |
Addresses
Primary practice location
1240 Rosecrans Ave Ste 120
Manhattan Beach, CA 90266-2558
Mailing address
840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550
Other practice location 1
8330 Red Oak St Ste 201
Rancho Cucamonga, CA 91730-0603
Phone (909) 987-2528
Other names
- Erica Faylor
Other providers in Manhattan Beach, CA
- Gregory Scott Brewster
- Brian M. Gee, M.D., Inc.
- Letitia Teray Bridges
- Mary Haley Bridges
- Lucie P Brining
- Evan Bronner
- Adam Brown
- Cherrelle Briona Brown
- Jason Michael Brown
- Kristen Frances Brown
All providers in Manhattan Beach, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.