Active NPI
Eric Powell, M.D.
- Anatomic Pathology Physician
- San Diego, CA
National Provider Identifier
1104216365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 01060833A
- Practice address
- 10777 Science Center Dr
San Diego, CA 92121-1111 - Phone
- (858) 622-7572
- NPI assigned
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 01060833A | IN | Primary |
Addresses
Primary practice location
10777 Science Center Dr
San Diego, CA 92121-1111
Mailing address
100 Sportfisher Dr Unit 301
Oceanside, CA 92054-1911
Phone (317) 908-8807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060833A | IN | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1104216365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SPORTFISHER DR UNIT 301",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920541911",
"telephone_number": "317-908-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10777 SCIENCE CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211111",
"telephone_number": "858-622-7572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "IN",
"license": "01060833A",
"primary": true
}
],
"identifiers": [],
"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 Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.