Individual provider Active NPI

Eric N McCloud

  • Driver
  • Red Bluff, CA
National Provider Identifier
1114778040
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
C7034935 Issued in CA
Practice address
285 Robert Ave
Red Bluff, CA 96080-2980
Phone
(425) 321-7985
NPI assigned
Mar 28, 2024
Reactivated
Jul 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X C7034935 CA Primary

Addresses

Primary practice location

285 Robert Ave
Red Bluff, CA 96080-2980

Mailing address

285 Robert Ave
Red Bluff, CA 96080-2980
Phone (425) 321-7985

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

State licenses

LicenseStateTypeSpecialty
C7034935CAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Mobility Driver CurrentSince Jun 30, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1114778040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 ROBERT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802980",
            "telephone_number": "425-321-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 ROBERT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802980",
            "telephone_number": "425-321-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "ERIC",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-22",
        "deactivation_date": "2024-07-29",
        "reactivation_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "C7034935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.