Individual provider Active NPI

Carrie Gerdik, FNP

  • Community Health Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1932451853
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
604605 Issued in CA
Practice address
40700 California Oaks Rd Ste 208
Murrieta, CA 92562-5789
Phone
(888) 858-2002
Fax
(951) 257-7914
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 604605 CA Primary

Addresses

Primary practice location

40700 California Oaks Rd Ste 208
Murrieta, CA 92562-5789

Mailing address

40700 California Oaks Rd Ste 208
Murrieta, CA 92562-5789
Phone (888) 858-2002

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
I20140121002085 CA Practitioner - Nurse Practitioner 7416185426 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dzenan Lulic MD a Medical CorporationGroup PAC ID 9537409339, 2 clinicians
Amelie Wagner, M.D.Group PAC ID 7810424181, 3 clinicians

Practice addresses (Care Compare)

40700 California Oaks Rd
Suite 206
Murrieta, CA 92562-5789
Phone (951) 239-1644

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dzenan Lulic, M.D., a Medical Corporation CurrentSince Oct 1, 2025 Accepting new patients
Amelie Wagner, M.D. CurrentSince Mar 2, 2026 Accepting new patients
Temecula Valley Emergency Physicians, Inc CurrentSince Aug 19, 2013 Accepting new patients

Locations

40700 California Oaks Rd
Ste 208
Murrieta, CA 92562
Phone (313) 910-7070

40700 California Oaks Rd
Ste 206
Murrieta, CA 92562
Phone (951) 239-1644

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1932451853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 208",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "888-858-2002",
            "fax_number": "951-257-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 208",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "888-858-2002",
            "fax_number": "951-257-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDIK",
        "first_name": "CARRIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "604605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.