Active NPI
Aaron Erez, D.O.
- Family Medicine Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A18844
- Practice address
- 8642 Villa la Jolla Dr Unit, #1
La Jolla, CA 92037-2367 - Phone
- (858) 255-0770
- Fax
- (971) 228-5412
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 186248 | OR | |
| Family Medicine Physician | 207Q00000X | 20A18844 | CA | Primary |
Addresses
Primary practice location
8642 Villa la Jolla Dr Unit, #1
La Jolla, CA 92037-2367
Mailing address
8642 Villa la Jolla Dr Unit 1
La Jolla, CA 92037-2367
Phone (301) 706-0716
Other practice location 1
1174 Cornucopia St NW Ste 240
Salem, OR 97304-3193
Phone (971) 301-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1174 Cornucopia St NW
Suite 240
Salem, OR 97304-3193
Phone (971) 301-4411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18844 | CA | MD | Family Medicine Physician |
| 186248 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Well Life Family Medicine, LLC | Current | Accepting new patients | |
| Marcus Zachary, D.O., P.C. | Family Medicine | Current | Accepting new patients |
| Clear Choice Dermatology | Past | Accepting new patients |
Locations
7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
256 SE 2nd Ave
Hillsboro, OR 97123
Phone (503) 648-1003
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
1174 Cornucopia St NW
Ste 240
Salem, OR 97304
Phone (971) 301-4411
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Interoperability endpoints
- aaron.erez.1@21276.direct.athenahealth.com
- https://api.platform.athenahealth.com/21276/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
dba Willamette Valley Weight Loss, LLC
- Clinic/Center
- Salem, OR
- NPI 1760998355
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Family Medicine
-
- Family Medicine Physician
- Fresno, CA
- NPI 1710592621
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1184018079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8642 VILLA LA JOLLA DR UNIT 1",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920372367",
"telephone_number": "301-706-0716",
"fax_number": "971-228-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8642 VILLA LA JOLLA DR UNIT, #1",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920372367",
"telephone_number": "858-255-0770",
"fax_number": "971-228-5412"
}
],
"practiceLocations": [
{
"address_1": "1174 Cornucopia St NW Ste 240",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973043193",
"country_code": "US",
"telephone_number": "971-301-4411",
"fax_number": "971-228-5412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EREZ",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "186248",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A18844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.