IndividualActive
Abraham Vandiver, FNP
NPI 1982176947 · Family Nurse Practitioner · Escondido, CA
Provider details
- NPI number
- 1982176947
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 820909 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
488 E Valley Pkwy Ste 411
Escondido, CA 92025-3380
Phone: (833) 867-4642
Fax: (360) 462-2741
Approximate (ZIP-level) locationGet directions
Mailing address
1234 Riverview Ave
El Centro, CA 92243-9109
Additional practice locations (1)
- 1600 S Imperial AveEl Centro, CA 92243-4242Phone: (760) 339-2802Fax: (760) 339-2829
Registry dates
- Enumerated
- 2018-12-31
- Last updated
- 2025-02-12
- Certified
- 2025-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.