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ERWIN JESUS DE LOS SANTOS GERVACIO
NPI 1386531069
Physician Assistant - Medical in Los Angeles, CA

Active since June 23, 2025
225 N MARIPOSA AVE, LOS ANGELES, CA 90004(213) 736-5441 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erwin Jesus De Los Santos Gervacio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERWIN JESUS DE LOS SANTOS GERVACIO (NPI 1386531069) is an individual medical provider in Los Angeles, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1386531069
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameERWIN JESUS DE LOS SANTOS GERVACIO
Location Address225 N MARIPOSA AVELos Angeles, CA 90004-4509
Mailing Address5233 E Beverly BlvdEast Los Angeles, CA 90022-2020 · (323) 499-3650
Phone(213) 736-5441
Sole ProprietorYes
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1386531069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
225 N MARIPOSA AVE, Los Angeles, CA 90004
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES YOVANNE MACIAS
Counselor (Addiction (Substance Use Disorder))
225 N MARIPOSA AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 736-5441
JONATHAN S JABER
Counselor (Addiction (Substance Use Disorder))
225 N MARIPOSA AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 736-5441
BRYCE T RONQUILLO
Counselor (Addiction (Substance Use Disorder))
225 N MARIPOSA AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 736-5441
CHRISTIAN A JAUREGUI
Counselor (Addiction (Substance Use Disorder))
225 N MARIPOSA AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 736-5441
BENJAMIN RATHBUN
Counselor (Addiction (Substance Use Disorder))
225 N MARIPOSA AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 736-5441
JULIO E SALAZAR
Counselor (Addiction (Substance Use Disorder))
225 N MARIPOSA AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 736-5441
WILL A ERVIN
Counselor (Addiction (Substance Use Disorder))
225 N MARIPOSA AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 736-5441
CARLOS STEVEN HEREDIA
Counselor (Addiction (Substance Use Disorder))
225 N MARIPOSA AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 499-3650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erwin De Los Santos Gervacio's NPI number?

The NPI number for Erwin De Los Santos Gervacio is 1386531069. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Erwin De Los Santos Gervacio located?

Erwin De Los Santos Gervacio practices at 225 N Mariposa Ave, Los Angeles, CA 90004. The listed phone number is (213) 736-5441.

What is Erwin De Los Santos Gervacio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Erwin De Los Santos Gervacio was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.