Organization Active NPI

Erwin Deiparine, MD a Professional Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • Monterey, CA
National Provider Identifier
1891977732
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A71796 Issued in CA
Legal business name
ERWIN DEIPARINE, MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
700 Cass St
114
Monterey, CA 93940-2916
Phone
(831) 242-8645
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Erwin Deiparine, MDNPI 1215973557
Title
President/ Owner
Phone
(831) 242-8645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A71796 CA Primary

Addresses

Primary practice location

700 Cass St
114
Monterey, CA 93940-2916

Mailing address

700 Cass St
114
Monterey, CA 93940-2916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000179 CA Part B Supplier - Clinic/Group Practice 7911089123 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

700 Cass St
Ste 114
Monterey, CA 93940
Phone (831) 641-0799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1891977732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CASS ST",
            "address_2": "114",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CASS ST",
            "address_2": "114",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402916",
            "telephone_number": "831-242-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWIN DEIPARINE, MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "DEIPARINE",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "831-242-8645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A71796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.