Xavier Jeremiah Ernst, NP-C, ABAAHP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002510 Issued in CA

Practice address

1792 Garnet Ave
San Diego, CA 92109-3350

Phone

(415) 745-0225

Fax

(888) 960-9058

NPI assigned

Sep 25, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)
• Mdstat Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Roseville, CA
  • NPI 1407229107
  NPD (past)
• Our Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Maryland Heights, MO
  • NPI 1871819680
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1780010595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093350",
            "telephone_number": "415-745-0225",
            "fax_number": "888-960-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093350",
            "telephone_number": "415-745-0225",
            "fax_number": "888-960-9058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Main St",
            "address_purpose": "LOCATION",
            "city": "Dupo",
            "state": "IL",
            "postal_code": "622391325",
            "country_code": "US",
            "telephone_number": "415-745-0225",
            "fax_number": "888-960-9058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNST",
        "first_name": "XAVIER",
        "middle_name": "JEREMIAH",
        "credential": "NP-C, ABAAHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019028369",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A161882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001251",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "62149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milton Karl Erman, M.D.
• Susan Reiner Erman, MD
• Erna Castrejon Alvarez, LMFT
• Ernest V. de Guzman, M.D., a Professional Corporation
• Christin Ann Ernst, D.P.T.
• Christine Eros, M.D.
• Sherry Ershadi, MD
• Martyna Anna Erskine, FNP
• Ayse Ertas
• Michelle Ertel

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, 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 May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.