Active NPI
Eric Lamarca, ORTHO TECHNOLOGIST
- Surgical Technologist
- San Diego, CA
National Provider Identifier
1306263470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 13-0200
- Practice address
- 4510 Executive Dr
Suite 125
San Diego, CA 92121-3021 - Phone
- (858) 678-0455
- Fax
- (858) 678-0391
- NPI assigned
- Mar 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 13-0200 | CA | Primary |
| Radiography Radiologic Technologist | 2471C3402X | RHT00103971 | CA |
Addresses
Primary practice location
4510 Executive Dr
Suite 125
San Diego, CA 92121-3021
Mailing address
4510 Executive Dr
Suite 125
San Diego, CA 92121-3021
Phone (858) 678-0455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-0200 | CA | MD | Surgical Technologist |
| RHT00103971 | CA | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1306263470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "SUITE 125",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021",
"telephone_number": "858-678-0455",
"fax_number": "858-678-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "SUITE 125",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021",
"telephone_number": "858-678-0455",
"fax_number": "858-678-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMARCA",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "ORTHO TECHNOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-26",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "CA",
"license": "13-0200",
"primary": true
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "RHT00103971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.