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

Q: 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.

Q: What is Mirka Radman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mirka Radman was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

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: August 16, 2026.

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

On this page

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

Phone(619) 567-7007

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

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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.

ALEXANDER CHARLES SALLOUM MD

Surgery (Vascular Surgery)

1111 BROADWAY STE 305
CHULA VISTA, CA 91911

San Diego County (619) 567-7007

TREVOR MICHAEL EARL PA-C

Physician Assistant

1111 BROADWAY STE 305
CHULA VISTA, CA 91911

San Diego County (619) 425-8212

DR. SERGIO GUILLERMO CASILLAS BERUMEN M.D.

Surgery (Vascular Surgery)

1111 BROADWAY STE 305
CHULA VISTA, CA 91911

San Diego County (619) 567-7007

MARYHELEN KWIATKOWSKI

Physical Therapy Assistant

1111 BROADWAY STE 305
CHULA VISTA, CA 91911

San Diego County (619) 425-8212

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.