Eric M Speare, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G36043 Issued in CA

Practice address

33971 Selva Rd Ste 150
Dana Point, CA 92629-3735

Phone

(949) 493-6633

Fax

(949) 493-0669

NPI assigned

Feb 1, 2007

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

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

Psychiatry

Education

Medical College of Wisconsin, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Eric Speare M.D. a Medical Corporation

  • Psychiatry Physician
  • Dana Point, CA
  • NPI 1124398151
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306984570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33971 SELVA RD STE 150",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293735",
            "telephone_number": "949-493-6633",
            "fax_number": "949-493-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33971 SELVA RD STE 150",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293735",
            "telephone_number": "949-493-6633",
            "fax_number": "949-493-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARE",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G36043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shores Detoxllc
• Southern California Psychiatric Associates Inc.
• Sovereignty Group Corp
• Sozango Inc
• John C. Spaeth Jr., O.D.
• Kristal St Jean
• Cheryl Stecki, L.A.C
• Cindy Lee Sterkel, P.T.
• Mary J Stoller, M.D.
• Nicole Stout

• Psychiatry Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.