Individual provider Active NPI

Ericka Marie Gair, D.O.

  • Family Medicine Physician
  • Pacific Palisades, CA
National Provider Identifier
1376660704
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9980 Issued in CA
Practice address
15200 W Sunset Blvd Ste 107
Pacific Palisades, CA 90272-3620
Phone
(310) 459-7736
Fax
(310) 230-0284
NPI assigned
Mar 22, 2007
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9980 CA Primary

Addresses

Primary practice location

15200 W Sunset Blvd Ste 107
Pacific Palisades, CA 90272-3620

Mailing address

15200 W Sunset Blvd Ste 107
Pacific Palisades, CA 90272-3620
Phone (310) 459-7736

Other identifiers 2

IdentifierTypeStateIssuer
CB380834MedicaidCA
20A9980OtherCACA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110328000343 CA Practitioner - Family Practice 8325221401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Palisades Medical Group IncGroup PAC ID 1153393517, 2 clinicians

Practice addresses (Care Compare)

11620 Wilshire Blvd
Suite 600
Los Angeles, CA 90025-1776
Phone (310) 459-7736

2730 Wilshire Blvd
Suite 301
Santa Monica, CA 90403-4749
Phone (310) 459-7736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A9980CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Feb 3, 2011 Accepting new patients
Pacific Palisades Medical Group Inc. Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 3, 2011 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

11620 Wilshire Blvd
Ste 600
Los Angeles, CA 90025
Phone (310) 459-7736

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

15200 W Sunset Blvd
Ste 107
Pacific Palisades, CA 90272
Phone (310) 459-7736

2730 Wilshire Blvd
Ste 301
Santa Monica, CA 90403
Phone (310) 459-7736

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1376660704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 W SUNSET BLVD STE 107",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723620",
            "telephone_number": "310-459-7736",
            "fax_number": "310-230-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 W SUNSET BLVD STE 107",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723620",
            "telephone_number": "310-459-7736",
            "fax_number": "310-230-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIR",
        "first_name": "ERICKA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB380834",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "20A9980",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "CAREQUALITY",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "c-cda",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

Verify at the official NPI Registry.