Individual provider Active NPI

Eduardo Linares, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1407022544
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1550 Tomcat Blvd Ste 150
Branch Health Clinic - Naval Air Station Oceana
Virginia Beach, VA 23460-2186
Phone
(757) 953-3933
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1550 Tomcat Blvd Ste 150
Branch Health Clinic - Naval Air Station Oceana
Virginia Beach, VA 23460-2186

Mailing address

1550 Tomcat Blvd Ste 150
Branch Health Clinic - Naval Air Station Oceana
Virginia Beach, VA 23460-2186
Phone (757) 953-3933

Other identifiers 1

IdentifierTypeStateIssuer
1407022544OtherNAVY PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1407022544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TOMCAT BLVD STE 150",
            "address_2": "BRANCH HEALTH CLINIC - NAVAL AIR STATION OCEANA",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602186",
            "telephone_number": "757-953-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TOMCAT BLVD STE 150",
            "address_2": "BRANCH HEALTH CLINIC - NAVAL AIR STATION OCEANA",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602186",
            "telephone_number": "757-953-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINARES",
        "first_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAVY PROVIDER",
            "identifier": "1407022544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.