Eric A. Enriquez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A82702 Issued in CA

Practice address

14623 Hawthorne Blvd
Suite 202
Lawndale, CA 90260-1581

Phone

(310) 973-8863

Fax

(310) 973-1623

NPI assigned

Jul 28, 2005

Last updated

Apr 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
• Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: eric.enriquez.p128@direct.healthcarepartners.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric a. Enriquez, M.D. Inc

  • Family Medicine Physician
  • Lawndale, CA
  • NPI 1073540597
  Medicare reassignment NPD Authorized official
• St Francis Medical Center

  • Long Term Care Hospital
  • Lynwood, CA
  • NPI 1346378270
  NPD (past)
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health System Southern California

  dba Providence Little Company of Mary Medical Center Torrance

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1902844988
  Care Compare affiliation
• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1225038573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD",
            "address_2": "SUITE 202",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601581",
            "telephone_number": "310-973-8863",
            "fax_number": "310-973-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD",
            "address_2": "SUITE 202",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601581",
            "telephone_number": "310-973-8863",
            "fax_number": "310-973-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "ERIC",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A827020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmundo I. Perfecto Jr DDS Inc (Lawdale Dental)
• Anoushiravan Ehya, M.D.
• El Dorado Community Service Center (El Dorado-Lawndale)
• Brian Elkins
• Elysian Care Corp
• William Sean Epps
• Eric a. Enriquez, M.D. Inc
• Eric L Lin DDS Dental Corporation (K&E Family Dental)
• Elaine Estacio, LMSW
• Esther Omolayo Are (Layo Hidden Treasure Medical Supply)

• Family Medicine Physician in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.

Verify at the official NPI Registry.