Active NPI
Eric Brown
- Counselor
- Barstow, CA
National Provider Identifier
1124296728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 309 E Mountain View St
Suite 100
Barstow, CA 92311-2814 - Phone
- (760) 256-0376
- Fax
- (760) 266-0377
- NPI assigned
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | Primary |
Addresses
Primary practice location
309 E Mountain View St
Suite 100
Barstow, CA 92311-2814
Mailing address
PO Box 7369
Redlands, CA 92375-0369
Phone (909) 792-0747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3005 | Other | CA | SIMON STAFF NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Guidance Centers, Inc. | Past | 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 and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Barstow, CA
- NPI 1255461414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1124296728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7369",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923750369",
"telephone_number": "909-792-0747",
"fax_number": "909-792-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E MOUNTAIN VIEW ST",
"address_2": "SUITE 100",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923112814",
"telephone_number": "760-256-0376",
"fax_number": "760-266-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIMON STAFF NUMBER",
"identifier": "3005",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.