Eric Culbertson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

NONE Issued in CA

Practice address

4625 Quigg Dr
Santa Rosa, CA 95409-5377

Phone

(707) 537-2111

Fax

(707) 537-2119

NPI assigned

Mar 2, 2007

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eculbert@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Sonoma County Health Care District

  dba Healdsburg District Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Healdsburg, CA
  • NPI 1043308539
  NPD (past)
• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1740413798
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1821126491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 QUIGG DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095377",
            "telephone_number": "707-537-2111",
            "fax_number": "707-537-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 QUIGG DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095377",
            "telephone_number": "707-537-2111",
            "fax_number": "707-537-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Texas Southwestern Medical Ctr",
            "address_2": "5323 Harry Hines Blvd.",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753909132",
            "country_code": "US",
            "telephone_number": "214-645-3104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1165 Montgomery Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954054801",
            "country_code": "US",
            "telephone_number": "707-525-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Mark West Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031436",
            "country_code": "US",
            "telephone_number": "707-576-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Foss Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Healdsburg",
            "state": "CA",
            "postal_code": "95448",
            "country_code": "US",
            "telephone_number": "707-473-0220",
            "fax_number": "707-473-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "NONE",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A125460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Cudlip, PHARMD
• Zayra Marlen Cuevas Vasquez
• Gabrielle J Cuevas
• Gilberto Cuevas
• Ruby Cuevas
• Elizabeth Suzanne Culhane, M.D.
• Deborah A Cullen
• Richard M. Cullinen
• Samantha Cullity
• Pamela Cullum, RN, CMM, DOULA

• Surgery Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.