Organization Active NPI

Eric Mowatt-Larssen, MD, Inc

  • Phlebology Physician
  • Monterey, CA
National Provider Identifier
1982955399
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
C55209 Issued in CA
Legal business name
ERIC MOWATT-LARSSEN, MD, INC
Practice address
977 Pacific St Ste B
Monterey, CA 93940-4400
Phone
(831) 646-8346
Fax
(831) 646-5261
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Dr. Eric Mowatt-Larssen, MDNPI 1487699013
Title
Physician/Owner
Phone
(831) 646-8346

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
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X C55209 CA Primary

Addresses

Primary practice location

977 Pacific St Ste B
Monterey, CA 93940-4400

Mailing address

977 Pacific St Ste B
Monterey, CA 93940-4400
Phone (831) 646-8346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121018000640 CA Part B Supplier - Clinic/Group Practice 5597915033 Receives reassigned benefits from 1 practitioner
Practice locations: Salinas, CA; Monterey, CA

National Provider Directory

National Provider Directory

Locations

243 El Dorado St
Ste 200
Monterey, CA 93940
Phone (831) 333-9008

757 Pacific St
Ste C2
Monterey, CA 93940
Phone (831) 646-8346

1326 Natividad Rd
Ste C
Salinas, CA 93906
Phone (831) 646-8346

1260 S Main St
Ste 202
Salinas, CA 93901
Phone (831) 646-8346

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1982955399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 PACIFIC ST STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404400",
            "telephone_number": "831-646-8346",
            "fax_number": "831-646-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 PACIFIC ST STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404400",
            "telephone_number": "831-646-8346",
            "fax_number": "831-646-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC MOWATT-LARSSEN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "MOWATT-LARSSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "831-646-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "CA",
            "license": "C55209",
            "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 Sep 26, 2016; 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.