Active NPI
Douglas Johnson Eck, MD
- Family Medicine Physician
- Merced, CA
National Provider Identifier
1144323189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G27346
- Practice address
- 374 W Olive Ave
Suite B
Merced, CA 95348-3181 - Phone
- (209) 383-3076
- Fax
- (209) 383-6301
- NPI assigned
- Sep 6, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G27346 | CA | Primary |
Addresses
Primary practice location
374 W Olive Ave
Suite B
Merced, CA 95348-3181
Mailing address
PO Box 3768
Merced, CA 95344-3768
Phone (209) 383-3076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G273460 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27346 | CA | MD | Clinical Social Worker |
| G27346 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1144323189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3768",
"city": "MERCED",
"state": "CA",
"postal_code": "953443768",
"telephone_number": "209-383-3076",
"fax_number": "209-383-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 W OLIVE AVE",
"address_2": "SUITE B",
"city": "MERCED",
"state": "CA",
"postal_code": "953483181",
"telephone_number": "209-383-3076",
"fax_number": "209-383-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECK",
"first_name": "DOUGLAS",
"middle_name": "JOHNSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G27346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G273460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.