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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ISAIAS RODOLFO VARGAS JR., CRNP

Active Sole Proprietor

ISAIAS RODOLFO VARGAS JR., CRNP is a Gerontological Nurse Practitioner healthcare provider located in VICTORVILLE, California. NPI 1992296545 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · VICTORVILLE, CA

Registration Details

NPI Number
1992296545
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2018 (8.1974189350118 yrs)
Last Updated
Jun 20, 2023
Licenses
SP018742 (PA)
NP95011154 (CA)
Sole Proprietor
Yes

Practice Information

Address
16850 BEAR VALLEY RD
VICTORVILLE, CA, 923955795
Browse CA providers · Browse ZIP 92395
Phone
7602418000
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in VICTORVILLE, CA

Name Credential NPI
JANET DIAZ AGPC NP-C 1639764368
BRETT BIRD NP 1780453191
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.