Individual provider Active NPI

Eve Michele Dreyfus, M.D.

  • Child & Adolescent Psychiatry Physician
  • Merced, CA
National Provider Identifier
1427084722
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A46447 Issued in CA
Practice address
301 E 13TH St
Merced, CA 95341-6211
Phone
(574) 647-8470
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01070946A IN
Child & Adolescent Psychiatry Physician 2084P0804X 01070946A IN
Child & Adolescent Psychiatry Physician 2084P0804X A46447 CA Primary

Addresses

Primary practice location

301 E 13TH St
Merced, CA 95341-6211

Mailing address

12728 Via Felino
Del Mar, CA 92014-3806
Phone (219) 713-4997

Other identifiers 2

IdentifierTypeStateIssuer
201068410MedicaidIN
000000932966OtherINBCBS BMG BEHAVIORAL ELKHART

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
I20070529000634 CA Practitioner - Psychiatry 2062519911 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070946AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Heritage Medical Group Inc CurrentSince May 11, 2024 Accepting new patients

Locations

1600 W Avenue J
Ste 232
Lancaster, CA 93534

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

Interoperability endpoints

  • Direct secure messaging: evedreyfus@beacon.allscriptsdirect.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1427084722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 VIA FELINO",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143806",
            "telephone_number": "219-713-4997",
            "fax_number": "858-461-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416211",
            "telephone_number": "574-647-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYFUS",
        "first_name": "EVE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01070946A",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01070946A",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A46447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201068410",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BMG BEHAVIORAL ELKHART",
            "identifier": "000000932966",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.