Erik Austin, D.O., M.P.H.

Key facts

NPI

1679629901

Entity type

Individual (NPI type 1)

Primary specialty

Dermatology Physician 207N00000X

License

20A9651 (CA)

Practice address

4520 Executive Drive
Suite 227
San Diego, CA 92121

Phone

(858) 622-1960

Fax

(858) 622-1900

NPI assigned

Jan 27, 2007

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 24, 2012.

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1679629901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DRIVE",
            "address_2": "SUITE 227",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-622-1960",
            "fax_number": "858-622-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DRIVE",
            "address_2": "SUITE 227",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-622-1960",
            "fax_number": "858-622-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A9651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

• Austin B Ambur DO Faad PC
• Lukas Robert Austin-Page, M.D.
• Alyssa Austin, LCSW
• Amanda Mary Austin, NP
• Andrea Leigh Austin, M.D.
• John Charles Austin, MD
• John Robert Austin
• Kassandra Jane Austin
• Kelly Austin, N.D.
• Luke Andrew Austin, IDC

All providers in San Diego, CA · Dermatology Physician in California