Richard Cyrus Eastman, M.D.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Mount Shasta, CA
NPI 1114164407 · NPPES record last updated Dec 17, 2010
Key facts
- NPI
- 1114164407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- G32801 (CA)
- Practice address
- 822 Pine St
Mount Shasta, CA 96067-2137 - Phone
- (530) 926-5261
- Fax
- (530) 926-1077
- NPI assigned
- Jan 8, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G32801 | CA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | G32801 | CA | Yes |
Addresses
Primary practice location
822 Pine St
Mount Shasta, CA 96067-2137
Mailing address
PO Box 339
Mount Shasta, CA 96067-0339
Phone (530) 926-5261
Other providers in Mount Shasta, CA
- Louise Dombrowski
- Donn & Doff Inc
- Stanton M Drucker
- Heather Duckart
- Rebecca Lucy Dyson
- Donna Edings
- Edward B. Miller, M.D., Inc
- Elizabeth a Stelz DO Inc
- Elizabeth Stelz D O Inc a Medical Corporation
- Amber Escobar
All providers in Mount Shasta, CA · Endocrinology, Diabetes & Metabolism Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.