Individual provider Active NPI

Michael Eby, M.D.

  • Surgical Critical Care Physician
  • Loma Linda, CA
National Provider Identifier
1629099080
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
A70664 Issued in CA
Practice address
25612 Barton Rd # 327
Loma Linda, CA 92354-3110
Phone
(951) 314-8917
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X A70664 CA
Surgical Critical Care Physician 2086S0102X A70664 CA Primary

Addresses

Primary practice location

25612 Barton Rd # 327
Loma Linda, CA 92354-3110

Mailing address

25612 Barton Rd # 327
Loma Linda, CA 92354-3110
Phone (951) 314-8917

Other practice location 1

11201 Benton St
Loma Linda, CA 92357-7128
Phone (909) 825-7084 ext. 6226

Other identifiers 1

IdentifierTypeStateIssuer
00A706640MedicaidCA

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
I20050309000615 CA Practitioner - Emergency MedicinePractitioner - Obstetrics/Gynecology 5395799662

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Urgent Care Centers Inc Past Accepting new patients
Loma Linda Univ Anesthesiology Medical Group Inc Past Accepting new patients
Florida Wellness and Rehab PA PastSince Jun 11, 2012 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1629099080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25612 BARTON RD # 327",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543110",
            "telephone_number": "951-314-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25612 BARTON RD # 327",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543110",
            "telephone_number": "951-314-8917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 Benton St",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923577128",
            "country_code": "US",
            "telephone_number": "909-825-7084 x6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBY",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "CA",
            "license": "A70664",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A70664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A706640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.