Individual provider Active NPI

Eric Theodore Teacher, M.D.

  • Emergency Medicine Physician
  • Loma Linda, CA
National Provider Identifier
1033352984
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A113183 Issued in CA
Practice address
11234 Anderson St
House Staff Office CP 21005
Loma Linda, CA 92354-2804
Phone
(909) 558-8131
NPI assigned
Apr 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A113183 CA Primary

Addresses

Primary practice location

11234 Anderson St
House Staff Office CP 21005
Loma Linda, CA 92354-2804

Mailing address

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (949) 545-8386

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000550 CA Practitioner - Emergency Medicine 7113183575 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wake Forest University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians
Elite Hospitalist Medical Group IncGroup PAC ID 9638394455, 14 clinicians

Practice addresses (Care Compare)

1025 S Anaheim Blvd
Anaheim, CA 92805-5806
Phone (714) 533-6220

29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone (909) 436-3080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as group
Quality
81.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113183CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine CurrentSince Jul 10, 2012 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 10, 2012 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Elite Hospitalist Medical Group, Inc. CurrentSince Jun 21, 2022 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Mission Viejo Emergency Medical Associates Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Mission Viejo Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Western Sierra Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

751 Medical Center Ct
#1182
Chula Vista, CA 91911

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1033352984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "949-545-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "HOUSE STAFF OFFICE CP 21005",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHER",
        "first_name": "ERIC",
        "middle_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A113183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.