Active NPI
Eric H Nelson, MD
- Emergency Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1780620849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G37404
- Practice address
- 17100 Euclid St
Fountain Valley, CA 92708-4004 - Phone
- (714) 966-7200
- NPI assigned
- Jun 20, 2006
- Last updated
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G37404 | CA | Primary |
Addresses
Primary practice location
17100 Euclid St
Fountain Valley, CA 92708-4004
Mailing address
PO Box 20140
Fountain Valley, CA 92728-0140
Phone (562) 809-3572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G374040 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1780620849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20140",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927280140",
"telephone_number": "562-809-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084004",
"telephone_number": "714-966-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ERIC",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G37404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G374040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
- Neck & Back Pain Specialists
- Neck & Back Pain Specialists, a Balta Chiropractic Corporation
- Neil Hersh Recovery Medical and Wellness Group Inc (Recovery Medical and Wellness Center)
- Neil R Soni MD Inc
- Robert L Neilan, M.D.
- Nephrology Independent Physicians Association Inc
- Nephrology Independent Practice Association, Inc.
- Jocelyn Neri-Romero
- Neurorescue, a Professional Medical (Southern California Neurorescue Specialists)
- New Alternatives Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.