Erol Deculing, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95000556 Issued in CA

Practice address

501 S Brookhurst Rd
Fullerton, CA 92833-3207

Phone

(209) 872-4323

NPI assigned

Apr 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advance Nursing Practice Medical Group IncGroup PAC ID 5597191494, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Advance Nursing Practice Medical Group Inc

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1699288993
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1992124606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WALNUT WOODS CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569656",
            "telephone_number": "209-872-4323",
            "fax_number": "888-879-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BROOKHURST RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333207",
            "telephone_number": "209-872-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECULING",
        "first_name": "EROL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "95000556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariano De Paz
• P K Dhinalie De Silva Wickramaratne
• Melani Cynthia De Silva
• Tracy Mae Esmeria De Vera
• Christian Debarge
• Meaghan Frances Defrancesco, ATC
• Dinaz Dehmobad
• Erica Boudewina Dekker
• Michelle Del Mundo
• Ruben Del Rio- Duarte

• Nurse Practitioner in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.