Individual provider Active NPI

Aaron Erez, D.O.

  • Family Medicine Physician
  • La Jolla, CA
National Provider Identifier
1184018079
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A18844 Issued in CA
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

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190613001828 OR Practitioner - Family Practice 9638402217 Reassigns benefits to 2 organizations
I20211210000157 CA Practitioner - Family Practice 9638402217

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
Well Life Family Medicine LLCGroup PAC ID 1355684937, 10 clinicians

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

LicenseStateTypeSpecialty
20A18844CAMDFamily Medicine Physician
186248ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Jan 18, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 18, 2020 Accepting new patients
Well Life Family Medicine, LLC CurrentSince May 1, 2019 Accepting new patients
Marcus Zachary, D.O., P.C. Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Clear Choice Dermatology PastSince May 1, 2019 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

  • Direct secure messaging: aaron.erez.1@21276.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.