Active NPI
Eric T Lovato, P.A.
- Surgical Physician Assistant
- Banning, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA16124
- Practice address
- 6109 W Ramsey St
Banning, CA 92220-3051 - Phone
- (909) 845-0313
- Fax
- (909) 796-4158
- NPI assigned
- Jun 2, 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA16124 | CA | Primary |
Addresses
Primary practice location
6109 W Ramsey St
Banning, CA 92220-3051
Mailing address
PO Box 2200
Redlands, CA 92373-0722
Phone (909) 793-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPA161240 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2802 Pacific Coast Hwy
Torrance, CA 90505-6702
Phone (310) 274-5372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16124 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Dermatology Associates, Inc. | Current | Accepting new patients | |
| Advanced Dermatology Surgery Center, Inc | Past | Accepting new patients |
Locations
1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510
135 Macaw Ln
#200
Simi Valley, CA 93065
Phone (805) 522-3300
3959 Laurel Canyon Blvd
Ste F
Studio City, CA 91604
Phone (818) 505-9300
2802 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 274-5372
370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592
Organizations & group practices 4
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.
-
- Dermatology Physician
- Walnut Creek, CA
- NPI 1700860871
-
- Dermatology Physician
- Studio City, CA
- NPI 1437329273
-
- Ambulatory Surgical Clinic/Center
- Fresno, CA
- NPI 1235738576
-
- Ambulatory Surgical Clinic/Center
- Fresno, CA
- NPI 1346373271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194763342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923730722",
"telephone_number": "909-793-3311",
"fax_number": "909-796-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6109 W RAMSEY ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922203051",
"telephone_number": "909-845-0313",
"fax_number": "909-796-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVATO",
"first_name": "ERIC",
"middle_name": "T",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-13",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA16124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OPA161240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.