Active NPI
Enrico L Sarmiento, PA-C
- Physician Assistant
- San Diego, CA
National Provider Identifier
1821143165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- NCCPA# 1045348
- Practice address
- BLDG 2496 Bauer Rd
BMC Miramar
San Diego, CA 92145 - Phone
- (858) 577-9864
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NCCPA# 1045348 | Primary |
Addresses
Primary practice location
BLDG 2496 Bauer Rd
BMC Miramar
San Diego, CA 92145
Mailing address
11041 Ice Skate PL
San Diego, CA 92126-4852
Phone (858) 547-9738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821143165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11041 ICE SKATE PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264852",
"telephone_number": "858-547-9738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 2496 BAUER RD",
"address_2": "BMC MIRAMAR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92145",
"telephone_number": "858-577-9864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARMIENTO",
"first_name": "ENRICO",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "NCCPA# 1045348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.