Individual provider Active NPI

Eric B Pascua, D.C.

  • Chiropractor
  • Riverside, CA
National Provider Identifier
1295040335
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31628 Issued in CA
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

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20220617002651 CA Practitioner - Chiropractic 0749669968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC31628CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pascua Chiropractic, Inc. a Professional Corporation Chiropractor CurrentSince May 10, 2022 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.

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.

Verify at the official NPI Registry.