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MR. EDGAR OLIVER SAN LUIS MSN, FNP-BC, FAANP
NPI 1891727699
Nurse Practitioner - Family in San Diego, CA

Active since July 06, 2006
8808 BALBOA AVE, SAN DIEGO, CA 92123(619) 645-0155(619) 645-0193 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, May 13, 2021 (2 updates tracked since 2021).

About Mr. Edgar Oliver San Luis Msn, Fnp-bc, Faanp NPPES

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

MR. EDGAR OLIVER SAN LUIS MSN, FNP-BC, FAANP (NPI 1891727699) is an individual family provider in San Diego, California, licensed in California (13312) and active in the NPI registry since July 2006. He maintains a secondary practice location in Commerce.

NPPES Registry Identity

NPI1891727699
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. EDGAR OLIVER SAN LUISCredential: MSN, FNP-BC, FAANP
Location Address8808 BALBOA AVESan Diego, CA 92123-1592
Mailing Address8808 Balboa AveSan Diego, CA 92123-1592
Phone(619) 645-0155
Fax(619) 645-0193
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1891727699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 13312✔ Licensed in HI · APRN-2027
8808 BALBOA AVE, San Diego, CA 92123
Open in Google Maps ↗

Secondary Practice Location 1

Location 15426 E Olympic BlvdCommerce, CA 90022-5113 · Phone (323) 725-7372

Other Providers at the Same Location NPPES 18

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

MS. MARYANN HOFTIEZER
Nurse Practitioner (Family)
8808 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (858) 569-6664
SARA MINOR KHADIVI
Physician Assistant
8808 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 481-2569
SAGE COLER PSYD
Psychologist (Clinical)
8808 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 645-0139
DR. CURRIEN DARYANO MACDONALD MD
Family Medicine
8808 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (858) 569-6664
MICHAEL D CECILIO M.D.
Family Medicine
8808 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 532-7848
MRS. SUN OK HAN PHARMACIST
Pharmacist
8808 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (858) 715-6467
SENGKHAM WU D.O.
Family Medicine
8808 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 532-8225
KRISTOPHER CARTER D.O.
Family Medicine
8808 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 645-0132

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 Edgar San Luis's NPI number?

The NPI number for Edgar San Luis is 1891727699. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Edgar San Luis located?

Edgar San Luis practices at 8808 Balboa Ave, San Diego, CA 92123. The listed phone number is (619) 645-0155.

What is Edgar San Luis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Edgar San Luis was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.