Individual provider Active NPI

Erik James Purcell, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eastvale, CA
National Provider Identifier
1104645852
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
803422 Issued in CA
Practice address
7021 Barwick CT
Eastvale, CA 92880-3938
Phone
(909) 260-8756
NPI assigned
Oct 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 803422 CA Primary

Addresses

Primary practice location

7021 Barwick CT
Eastvale, CA 92880-3938

Mailing address

7021 Barwick CT
Eastvale, CA 92880-3938
Phone (909) 260-8756

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125000410 CA Practitioner - Nurse Practitioner 7517492853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians

Practice addresses (Care Compare)

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
803422CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Inland Psychiatric Medical Group Inc Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health Current Accepting new patients

Locations

8100 California City Blvd
California City, CA 93505
Phone (760) 979-1787

4160 Temescal Canyon Rd
Ste 408
Corona, CA 92883
Phone (951) 344-4451

10800 Paramount Blvd
Ste 306
Downey, CA 90241
Phone (562) 480-1638

12442 Limonite Ave
Unit 104
Eastvale, CA 91752
Phone (951) 344-4451

12377 Lewis St
Ste 105
Garden Grove, CA 92840
Phone (714) 823-4780

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

4049 Brockton Ave
Riverside, CA 92501
Phone (951) 300-8124

2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1104645852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 BARWICK CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803938",
            "telephone_number": "909-260-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 BARWICK CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803938",
            "telephone_number": "909-260-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "ERIK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "803422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

Verify at the official NPI Registry.