Active NPI
Eric McCloud, M.D.
- Pediatric Gastroenterology Physician
- Van Nuys, CA
National Provider Identifier
1386657948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- G61054
- Practice address
- 15211 Vanowen St Ste 315
Van Nuys, CA 91405-3616 - Phone
- (818) 894-8080
- Fax
- (818) 920-9957
- NPI assigned
- Aug 14, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G61054 | CA | |
| Pediatric Gastroenterology Physician | 2080P0206X | G61054 | CA | Primary |
Addresses
Primary practice location
15211 Vanowen St Ste 315
Van Nuys, CA 91405-3616
Mailing address
23560 Madison St
Ste 206
Torrance, CA 90505-4708
Phone (310) 325-1229
Other practice location 1
23560 Madison St
Ste 206
Torrance, CA 90505-4708
Phone (310) 325-1229
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G610540 | Medicaid | CA | |
| 00G610540 | Other | CA | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eric.mccloud.p1@direct.eisnerhealth.nextgenshare.com | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140501001744 | CA | Order and Referring Only - Pediatric Medicine | 2264525872 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61054 | CA | MD | Pediatric Gastroenterology Physician |
| 61054 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- eric.mccloud.1@28334.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1386657948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23560 MADISON ST",
"address_2": "STE 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": "15211 VANOWEN ST STE 315",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053616",
"telephone_number": "818-894-8080",
"fax_number": "818-920-9957"
}
],
"practiceLocations": [
{
"address_1": "23560 Madison St",
"address_2": "Ste 206",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905054708",
"country_code": "US",
"telephone_number": "310-325-1229",
"fax_number": "310-325-1233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLOUD",
"first_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G61054",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "G61054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G610540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G610540",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eric.mccloud.p1@direct.eisnerhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGenShare, Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1530 S Olive St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900153023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.