Individual provider Active NPI

Erin Elizabeth Wood, PA-C

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1669725271
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22608 Issued in CA
Practice address
2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone
(949) 760-9222
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA22608 CA
Physician Assistant 363A00000X PA22608 CA Primary

Addresses

Primary practice location

2075 San Joaquin Hills Rd
Newport Beach, CA 92660

Mailing address

2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone (949) 760-9222

Other practice location 1

361 Hospital Rd Ste 224
Newport Beach, CA 92663-3523
Phone (949) 383-4190

Other practice location 2

361 Hospital Rd Ste 224
Newport Beach, CA 92663-3523
Phone (949) 383-4190

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130201000105 CA Practitioner - Physician Assistant 8022262898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

16405 Sand Canyon Ave
Suite 200
Irvine, CA 92618-3786
Phone (949) 383-4190

500 Superior Ave
Suite 270
Newport Beach, CA 92663-3657
Phone (949) 791-3370

510 Superior Ave
Newport Beach, CA 92663-3664

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA22608CAMDSurgical Physician Assistant
22608CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marque Medical Clinic, Inc CurrentSince Oct 4, 2019 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1669725271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606505",
            "telephone_number": "949-760-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-760-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 Hospital Rd Ste 224",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633523",
            "country_code": "US",
            "telephone_number": "949-383-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 Hospital Rd Ste 224",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633523",
            "country_code": "US",
            "telephone_number": "949-383-4190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA22608",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.