Active NPI
Eric R Fox, M.D.
- Family Medicine Physician
- Yucaipa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G63965
- Practice address
- 33758 Yucaipa Blvd
Yucaipa, CA 92399-2243 - Phone
- (909) 795-9747
- Fax
- (909) 797-3922
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G63965 | CA | Primary |
Addresses
Primary practice location
33758 Yucaipa Blvd
Yucaipa, CA 92399-2243
Mailing address
PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 335-4188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G639650 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63965 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Gurusamy Inc. | Family Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Family Medicine | Current | Accepting new patients |
Locations
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400
33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747
655 Harmon Loop Rd
Ste 102
Dededo, GU 96929
Phone (671) 727-8811
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
- Family Medicine Physician
- Dededo, GU
- NPI 1942277967
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1629003991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10069",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230069",
"telephone_number": "909-335-4188",
"fax_number": "909-335-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33758 YUCAIPA BLVD",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992243",
"telephone_number": "909-795-9747",
"fax_number": "909-797-3922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ERIC",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G63965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G639650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.