Eric Voldeng

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15918 Issued in CA

Practice address

1040 Elm Ave Ste 100
Long Beach, CA 90813-3265

Phone

(562) 491-2145

Fax

(562) 491-0153

NPI assigned

Dec 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1740464551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133265",
            "telephone_number": "562-491-2145",
            "fax_number": "562-491-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133265",
            "telephone_number": "562-491-2145",
            "fax_number": "562-491-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLDENG",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Vo, PHARMD
• Tracy T Vo, PHARM D
• Uyen H Vo, PHARMD
• Joseph Arthur Voglund, CCCA
• Marshall Vogt
• Mary Volpe
• Kacy Voltmer
• Erin Von Fempe, L.C.S.W.
• Melissa Von Leffern, CCC-SLP
• Vonda L. Pelto, PH.D.

• Medical Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.

Verify at the official NPI Registry.