Individual provider Active NPI

Desiree Rochelle Eakin, MD

  • Integrative Medicine Physician
  • Seal Beach, CA
National Provider Identifier
1467578708
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
A115574 Issued in CA
Practice address
1500 Pacific Coast Hwy Ste B
Seal Beach, CA 90740-6246
Phone
(562) 431-7779
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X A115574 CA Primary
Integrative Medicine Physician 202D00000X 13193 NV
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 13193 NV
Pediatric Obesity Medicine Physician 2080B0002X 13193 NV
Obesity Medicine (Preventive Medicine) Physician 2083B0002X A115574 CA
Pediatric Obesity Medicine Physician 2080B0002X A115574 CA
Pediatrics Physician 208000000X A115574 CA

Addresses

Primary practice location

1500 Pacific Coast Hwy Ste B
Seal Beach, CA 90740-6246

Mailing address

1500 Pacific Coast Hwy Ste B
Seal Beach, CA 90740-6246
Phone (562) 431-7779

Other identifiers 1

IdentifierTypeStateIssuer
100500484MedicaidNV

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
I20110815000631 CA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0446306641 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115574CAMDPediatrics Physician
LL1705NVMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jan 7, 2017 Accepting new patients
Intercommunity Emergency Medical Group CurrentSince Oct 1, 2015 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Aug 1, 2011 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 7, 2017 Accepting new patients
Olive Health Pediatrics Inc Pediatrics Past Accepting new patients

Locations

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 6

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1467578708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PACIFIC COAST HWY STE B",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406246",
            "telephone_number": "562-431-7779",
            "fax_number": "844-779-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PACIFIC COAST HWY STE B",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406246",
            "telephone_number": "562-431-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKIN",
        "first_name": "DESIREE",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "CA",
            "license": "A115574",
            "primary": true
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NV",
            "license": "13193",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NV",
            "license": "13193",
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "NV",
            "license": "13193",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A115574",
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "CA",
            "license": "A115574",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A115574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500484",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.