Vance C Eberly MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G81586 Issued in CA

Legal business name

VANCE C EBERLY MD INC

Practice address

11525 Brookshire Ave
Suite 405
Downey, CA 90241-4985

Phone

(714) 849-6023

Fax

(714) 849-6023

NPI assigned

Jan 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vance Charles Eberly, M.D.NPI 1053429456

Title

President

Phone

(562) 869-4421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vance Charles Eberly, M.D.

  • Orthopaedic Surgery Physician
  • Downey, CA
  • NPI 1053429456

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1659518355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE",
            "address_2": "SUITE 405",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414985",
            "telephone_number": "714-849-6023",
            "fax_number": "714-849-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE",
            "address_2": "SUITE 405",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414985",
            "telephone_number": "714-849-6023",
            "fax_number": "714-849-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE C EBERLY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "EBERLY",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-869-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G81586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ferdinand Valmonte
• Ashley Nicole Van Dyke, PT, DPT
• Michael Van
• Mirka Azucena Vanegas Mendez, RN
• Nancy S Vansickle, P.T.
• McKayla Varela
• Cesar Alberto Vargas Quinones
• Alexander D Vargas, MD

• All providers in Downey, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.