MS. MIRKA A RADMAN CFNP
NPI 1962770636
Nurse Practitioner in Chula Vista, CA

Active since December 08, 2011
1111 BROADWAY STE 305, CHULA VISTA, CA 91911(619) 567-7007(619) 567-7775 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 21, 2023, Jul 3, 2018 (2 updates tracked since 2018).

About Ms. Mirka A Radman Cfnp NPPES

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

MS. MIRKA A RADMAN CFNP (NPI 1962770636) is an individual nurse practitioner in Chula Vista, California, licensed in California (6394632) and active in the NPI registry since December 2011. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962770636
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MIRKA A RADMANCredential: CFNP
Location Address1111 BROADWAY STE 305Chula Vista, CA 91911
Mailing Address1111 Broadway Ste 305Chula Vista, CA 91911-2700 · (619) 567-7007 · Fax (619) 567-7775
Fax(619) 567-7775
Sole ProprietorNo
Enumeration DateDecember 8, 2011
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1962770636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 6394632
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1111 BROADWAY STE 305, Chula Vista, CA 91911

Other Names 1

Former Name (1)Ms. Mirka A Forgeron Cfnp

Secondary Practice Locations 2

Location 115611 Pomerado Rd Ste 505Poway, CA 92064-2437 · Phone (858) 264-7004 · Fax (858) 264-7004
Location 24225 Executive Sq Ste 450LA Jolla, CA 92037-8411 · Phone (858) 810-8000 · Fax (858) 268-1911

Other Providers at the Same Location NPPES 4

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

Physical Therapy Assistant
1111 BROADWAY STE 305
CHULA VISTA, CA 91911
Physician Assistant
1111 BROADWAY STE 305
CHULA VISTA, CA 91911
Surgery (Vascular Surgery)
1111 BROADWAY STE 305
CHULA VISTA, CA 91911
Surgery (Vascular Surgery)
1111 BROADWAY STE 305
CHULA VISTA, CA 91911

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 Mirka Radman's NPI number?

The NPI number for Mirka Radman is 1962770636. It was assigned to this individual provider in the NPPES registry on December 8, 2011. The provider is also known as Ms. Mirka A Forgeron Cfnp.

Where is Mirka Radman located?

Mirka Radman practices at 1111 Broadway Ste 305, Chula Vista, CA 91911. The listed phone number is (619) 567-7007.

What is Mirka Radman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mirka Radman was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.