Active NPI
Eric B Pascua, D.C.
- Chiropractor
- Riverside, CA
National Provider Identifier
1295040335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31628
- Practice address
- 4260 Central Ave Ste a
Riverside, CA 92506-2937 - Phone
- (951) 684-2350
- Fax
- (951) 684-5350
- NPI assigned
- Aug 13, 2010
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC31628 | CA | Primary |
Addresses
Primary practice location
4260 Central Ave Ste a
Riverside, CA 92506-2937
Mailing address
4260 Central Ave Ste a
Riverside, CA 92506-2937
Phone (951) 684-2350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220617002651 | CA | Practitioner - Chiropractic | 0749669968 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31628 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pascua Chiropractic, Inc. a Professional Corporation | Chiropractor | Current | Accepting new patients |
Locations
4260 Central Ave
Ste A
Riverside, CA 92506
Phone (951) 684-2350
Organizations & group practices 1
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.
-
- Chiropractor
- Riverside, CA
- NPI 1487304341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1295040335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4260 CENTRAL AVE STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062937",
"telephone_number": "951-684-2350",
"fax_number": "951-684-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4260 CENTRAL AVE STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062937",
"telephone_number": "951-684-2350",
"fax_number": "951-684-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUA",
"first_name": "ERIC",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-13",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.