Active NPI
Eric Eaves
- Rehabilitation Practitioner
- Apple Valley, CA
National Provider Identifier
1427790765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 18818 US Highway 18
Apple Valley, CA 92307-2323 - Phone
- (760) 995-8949
- NPI assigned
- Apr 8, 2022
- Last updated
- Oct 27, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | ||
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
18818 US Highway 18
Apple Valley, CA 92307-2323
Mailing address
PO Box 2087
Apple Valley, CA 92307-0040
Phone (909) 974-8123
Other practice location 1
23701 E East Fork Rd
Azusa, CA 91702-1477
Phone (626) 910-1202
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| His House New Creation Treatment Center | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Social Model Recovery Systems, Inc. | Past | Accepting new patients | |
| G & C Swan Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Upland, CA
- NPI 1376371187
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1497834089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1427790765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923070040",
"telephone_number": "909-974-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18818 US HIGHWAY 18",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072323",
"telephone_number": "760-995-8949"
}
],
"practiceLocations": [
{
"address_1": "23701 E East Fork Rd",
"address_purpose": "LOCATION",
"city": "Azusa",
"state": "CA",
"postal_code": "917021477",
"country_code": "US",
"telephone_number": "626-910-1202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EAVES",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-08",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.