DR. ERIC R MARIOTTI (NPI# 1053389205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053389205 |
| Entity Type | Individual |
| Full Name | DR. ERIC R MARIOTTI |
| Credential | MD |
| Practice Address |
2222 East St #310 Concord CA 94520-2084 |
| Practice Telephone | 9256854533 |
| Practice Fax Number | 9526850665 |
| Mailing Telephone | 9256854533 |
| Mailing Fax Number | 9526850665 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G85332 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G853320 | 05 |
| Street Address |
2222 EAST ST #310 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349831 | Stephen Paul Taylor | Urology | 2222 East St, Ste 250, Concord, CA 94520 | 2005-07-08 |
| 1134648595 | Tychelle Allen | Nurse Practitioner | 2222 East St, Concord, CA 94520-2084 | 2017-09-16 |
| 1407032162 | Zita Shiue | Internal Medicine | 2222 East St, Suite 305, Concord, CA 94520-2084 | 2008-01-11 |
| 1396926861 | E Shirazi Dds Inc | Dentist | 2222 East St, Suite 270, Concord, CA 94520-2084 | 2007-11-26 |
| 1801016498 | David L Brothers | Dentist | 2222 East St, #315, Concord, CA 94520-2084 | 2007-04-26 |
| 1417005588 | Sunaina Deepak | Dietitian, Registered | 2222 East St, Suite 305, Concord, CA 94520-2084 | 2007-01-08 |
| 1598823106 | Ali Iranmanesh | Dentist | 2222 East St, Suite #355, Concord, CA 94520-2084 | 2006-12-05 |
| 1144315276 | Diablo Dialysis Access Center A Ca Professional Medical Corp | Specialist | 2222 East St, Ste 305, Concord, CA 94520-2084 | 2006-10-04 |
| 1366540148 | Aaron Scott Cohen | Dentist | 2222 East St, 350, Concord, CA 94520-2084 | 2006-09-20 |
| 1396843181 | Mark D. Stevenson | Dentist | 2222 East St, 350, Concord, CA 94520-2084 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467569541 | Todd Eric Burdette | Surgery | 248 Pleasant St Ste 201, Concord, NH 03301-2588 | 2006-08-24 |
| 1932107216 | Wayne K. Stadelmann | Surgery | 246 Pleasant St, Suite 210, Concord, NH 03301-2588 | 2005-07-12 |
| 1871965483 | Nathan Narasimhan Md | Surgery | 131 Ornac, John Cuming Building Ste 700, Concord, MA 01742-4181 | 2015-10-22 |
| 1619119906 | Cmc-northeast, Inc. | Surgery | 200 Medical Park Dr, Suite 520, Concord, NC 28025-2982 | 2009-04-01 |
| 1164695847 | Nathan Paul Narasimhan | Surgery | 131 Ornac, John Cuming Building Ste 700, Concord, MA 01742-4181 | 2008-04-02 |
| 1932394376 | Stadelmann Center for Plastic Surgery, P.C. | Surgery | 248 Pleasant St, Suite 201, Concord, NH 03301-2588 | 2007-09-10 |
| 1073738654 | Concord Plastic Surgery Inc | Surgery | 131 Ornac, John Cuming Bulding Suite 700, Concord, MA 01742-4177 | 2007-04-17 |
| 1801856851 | Paul David Costas | Surgery | 131 Ornac, John Cuming Bldg Ste 850, Concord, MA 01742-4177 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
| 1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
| 1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
| 1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
| 1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
| 1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
| 1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
| 1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
| 1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.