Individual provider · Type 1 NPI
Ramon Tibay Pacina Jr., NP
Family Nurse Practitioner · Carson, CA
NPI number
1407434004
Active
Practice location
23018 Moneta Ave
Carson, CA 90745-4732
Mailing address
1819 Washington Ave, Apt A
Santa Monica, CA 90403-3324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95017039 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407434004
Ramon Tibay Pacina Jr., NP's National Provider Identifier is 1407434004, issued on Apr 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carson, CA. The record was last updated on May 8, 2026.