Nathan B Ecklund, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4678 Issued in CA

Practice address

310 S Halcyon Rd Ste 101
Arroyo Grande, CA 93420-3863

Phone

(805) 481-0881

Fax

(805) 481-0835

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott E Adams DPM IncGroup PAC ID 3577577733, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.01 of 100Reported as group

Quality

85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: necklund@ccdi-ca.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Central Coast DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • Templeton, CA
  • NPI 1891253936
  Medicare reassignment NPD Authorized official
• Scott E Adams DPM Inc

  • Podiatrist
  • Arroyo Grande, CA
  • NPI 1487648697

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Scott E. Adams, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
  • NPI 1245609270
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Arroyo Grande, CA
  • NPI 1770659336
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1831225549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD STE 101",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203863",
            "telephone_number": "805-481-0881",
            "fax_number": "805-481-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD STE 101",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203863",
            "telephone_number": "805-481-0881",
            "fax_number": "805-481-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLUND",
        "first_name": "NATHAN",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E4678",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E46780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00E46780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Dominguez, MSW, PPSC
• Kathleen A Doody, P.T.
• Zehra Dos Santos
• Juri Dowell, BCBA
• Matthew Richard Dupont, DPT
• Christopher John Edgerton, DDS
• John Eugene Edgerton, DDS
• Julia Marlys Edgerton, DDS
• Colstyn R Edwards, LMFT
• Alisha L Eftekhari

• Foot & Ankle Surgery Podiatrist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.