E C America

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D3824 Issued in CA

Legal business name

E C AMERICA

Practice address

361 Hospital Rd
Suite 325
Newport Beach, CA 92663-3522

Phone

(949) 651-3415

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Carol Jackson, M.D.NPI 1255434825

Title

Director

Phone

(949) 651-3415

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carol Jackson, M.D. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol A Jackson, M.D.

  • Otolaryngology Physician
  • Newport Beach, CA
  • NPI 1255434825
  NPD (past) Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1326285180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD STE A109",
            "address_2": "#384",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275007",
            "telephone_number": "949-651-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "SUITE 325",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-651-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E C AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-651-3415",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "D3824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G50085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol Jackson, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexis Durant
• Jill Durby
• Kathryn Dyer
• Katelyn Marguerite Dykhuis, PA-C
• Kelli Dzajkich
• Easy Living Inc.
• Eating Disorder Center of California
• Mary Carlyn Eberhart, D.C.
• Cindy Echeverria
• Emily Echeverria, MS, LMFT

• Medical Specialty Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.