Individual provider Active NPI

Erick W. Hjortsvang, MD

  • Internal Medicine Physician
  • Arroyo Grande, CA
National Provider Identifier
1275611857
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79589 Issued in CA
Practice address
584 Camino Mercado
Arroyo Grande, CA 93420-1816
Phone
(805) 474-9143
Fax
(805) 474-9569
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79589 CA Primary

Addresses

Primary practice location

584 Camino Mercado
Arroyo Grande, CA 93420-1816

Mailing address

1800 Harrison St FL 7
Oakland, CA 94612-3429
Phone (510) 625-6262

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000532 CA Practitioner - Hematology/Oncology 1759369200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PCR Oncology IncGroup PAC ID 4082933163, 2 clinicians

Practice addresses (Care Compare)

584 Camino Mercado
Arroyo Grande, CA 93420-1816
Phone (805) 474-9143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79589CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PCR Oncology, Inc. CurrentSince Jul 6, 2015 Accepting new patients
Oklahoma Oncology & Hematology PC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Dignity Community Care Past Accepting new patients
Jackson County Memorial Hospital Authority PastSince Dec 31, 2008 Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

584 Camino Mercado
Arroyo Grande, CA 93420
Phone (805) 473-8983

921 Oak Park Blvd
Ste 100A
Pismo Beach, CA 93449
Phone (805) 474-9143

Interoperability endpoints

  • Direct secure messaging: erick.hjortsvang@pcronc.ikm.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1275611857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HARRISON ST FL 7",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123429",
            "telephone_number": "510-625-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 CAMINO MERCADO",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201816",
            "telephone_number": "805-474-9143",
            "fax_number": "805-474-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HJORTSVANG",
        "first_name": "ERICK",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.