Individual provider Active NPI

Erin Dorothy McIntosh, NP

  • Family Nurse Practitioner
  • Sun City, CA
National Provider Identifier
1194440818
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000000 Issued in CA
Practice address
27994 Bradley Rd
Sun City, CA 92586-2240
Phone
(951) 679-6467
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 000000 CA Primary

Addresses

Primary practice location

27994 Bradley Rd
Sun City, CA 92586-2240

Mailing address

5841 Grand Ave
Riverside, CA 92504-1327
Phone (951) 544-7351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230508001854 CA Practitioner - Nurse Practitioner 9436514874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000000CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
El-Bershawi Medical Corp Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Bill L. Jou, M.D., Inc. Multi-Specialty PastSince Oct 9, 2022 Accepting new patients
Pacific Professional Surgical Group Inc Multi-Specialty Past Accepting new patients

Locations

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

4234 Riverwalk Pkwy
Ste 120
Riverside, CA 92505
Phone (909) 418-2700

Organizations & group practices 3

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1194440818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 GRAND AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041327",
            "telephone_number": "951-544-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27994 BRADLEY RD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862240",
            "telephone_number": "951-679-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ERIN",
        "middle_name": "DOROTHY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, CA

Sources for this page

Verify at the official NPI Registry.