Active NPI
Erin Dwyer, N.P.-C
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004184
- Practice address
- 4060 4TH Ave
Suite 310
San Diego, CA 92103-2116 - Phone
- (619) 297-4707
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95004184 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95004184 | CA | Primary |
Addresses
Primary practice location
4060 4TH Ave
Suite 310
San Diego, CA 92103-2116
Mailing address
4060 Fourth Ave
Suite 310
San Diego, CA 92103-2116
Phone (619) 297-4707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP95004184 | Other | CA | CA NP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4060 4TH Ave
Suite 310
San Diego, CA 92103-2120
Phone (619) 297-4707
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95004184 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Call Specialists Medical Group of San Diego, Inc. | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Genesis Healthcare Partners PC | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
320 Santa Fe Dr
Ste 108
Encinitas, CA 92024
Phone (760) 436-4558
9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944
8851 Center Dr
Ste 501
La Mesa, CA 91942
Phone (619) 697-2456
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
4060 4th Ave
Ste 310
San Diego, CA 92103
Phone (619) 297-4707
230 Prospect Pl
Ste 210
San Diego, CA 92118
Phone (619) 269-4747
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
3444 Kearny Villa Rd
Ste 202
San Diego, CA 92123
Phone (858) 429-7646
3444 Kearny Villa Rd
Ste 201
San Diego, CA 92123
Phone (858) 430-1101
11770 Bernardo Plaza Ct
Ste 270
San Diego, CA 92128
Phone (858) 485-0554
4060 4th Ave
San Diego, CA 92103
Phone (619) 298-9931
650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- erin.dwyer.1@3663.direct.athenahealth.com
- edwyer28239@scrippshlth.medalliesdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Specialist
- San Diego, CA
- NPI 1962175836
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1003260894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE",
"address_2": "SUITE 310",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032116",
"telephone_number": "619-297-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 4TH AVE",
"address_2": "SUITE 310",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032116",
"telephone_number": "619-297-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "ERIN",
"credential": "N.P.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95004184",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA NP LICENSE",
"identifier": "NP95004184",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.