Eric McCloud MD

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

G61054 Issued in CA

Legal business name

ERIC MCCLOUD MD

Practice address

23560 Madison St
Suite 206
Torrance, CA 90505-4708

Phone

(310) 325-1229

Fax

(310) 325-1233

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Eric McCloud, M.D.NPI 1386657948

Title

President

Phone

(310) 325-1229

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric McCloud, M.D.

  • Pediatric Gastroenterology Physician
  • Van Nuys, CA
  • NPI 1386657948
  Authorized official Same address or phone

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1316164908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST",
            "address_2": "SUITE 206",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054708",
            "telephone_number": "310-325-1229",
            "fax_number": "310-325-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST",
            "address_2": "SUITE 206",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054708",
            "telephone_number": "310-325-1229",
            "fax_number": "310-325-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC MCCLOUD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-325-1229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "G61054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G610540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric I-Hung Lin D O Inc
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• Eric M Feit DPM Inc
• Eric Michael Munro MD Inc
• Eric T. Wong D.D.S., a Professional Corp
• Eric Wee, D.P.M., Inc. (Focused Foot Care)
• Shalliah Ericksen, MS SLP-CCC
• Taryn Jean Erickson, OTR/L

• Pediatric Gastroenterology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.