NPIMap

Individual provider Active NPI

Eric Warren

  • Family Medicine Physician
  • Fillmore, CA
National Provider Identifier
1427518257
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20232 Issued in CA
Practice address
852 W Ventura St
Fillmore, CA 93015-1837
Phone
(805) 524-2672
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 20A20232 CA Primary

Addresses

Primary practice location

852 W Ventura St
Fillmore, CA 93015-1837

Mailing address

6500 38TH Ave N
St Petersburg, FL 33710-1629

Other practice location 1

6500 38th Ave N
St Petersburg, FL 33710-1629
Phone (727) 384-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928000721 CA Practitioner - Family Practice 8628454790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

852 W Ventura St
Fillmore, CA 93015-1837
Phone (805) 524-2672

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20232CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Sep 1, 2022 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Sep 1, 2022 Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

Interoperability endpoints

  • Direct secure messaging: ewarren3518253@oc.providencedirect.org
  • Direct secure messaging: ericwarren@cfh.allscriptsdirect.net
  • Direct secure messaging: eric.warren@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1427518257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 W VENTURA ST",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151837",
            "telephone_number": "805-524-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101629",
            "country_code": "US",
            "telephone_number": "727-384-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fillmore, CA

Sources for this page

Verify at the official NPI Registry.