ERIC A. PECK (NPI# 1124128517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124128517 |
| Entity Type | Individual |
| Full Name | ERIC A. PECK |
| Credential | M.D. |
| Practice Address |
3838 San Dimas St Suite A-100 Bakersfield CA 93301-2284 |
| Practice Telephone | 6613278538 |
| Practice Fax Number | 6613275432 |
| Mailing Telephone | 6613278538 |
| Mailing Fax Number | 6613275432 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | A91071 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467869016 | Eric William Peck | Pharmacist | 595 E Parks Hwy, Wasilla, AK 99654-8150 | 2014-07-15 |
| 1255347852 | Eric P. Peck | Family Medicine | 90 Beaver Dr, Building C, Du Bois, PA 15801-2440 | 2006-08-01 |
| Street Address |
3838 SAN DIMAS ST SUITE A-100 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-2284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791299 | Charles Vincent Phillips | Surgery | 3838 San Dimas St, Ste B-231, Bakersfield, CA 93301-2284 | 2005-06-22 |
| 1720600497 | Suzzeth Reid | Specialist/Technologist | 3838 San Dimas St, Bakersfield, CA 93301-2284 | 2020-05-15 |
| 1619533791 | Greg Lane | Registered Nurse | 3838 San Dimas St, Bakersfield, CA 93301-2284 | 2019-05-14 |
| 1497128557 | United Neuroscience, Inc | Psychiatry & Neurology | 3838 San Dimas St, Suite A 140, Bakersfield, CA 93301-2284 | 2015-11-10 |
| 1962746149 | Premier Neurology of Bakersfield Inc | Neuromusculoskeletal Medicine & OMM | 3838 San Dimas St, Bldg A Suite 250, Bakersfield, CA 93301-2284 | 2012-11-12 |
| 1083971881 | Dignity Health Medical Foundation | Clinic/Center | 3838 San Dimas St, Bldg. A #200, Bakersfield, CA 93301-2284 | 2012-04-18 |
| 1548536261 | Premier Medical Associates, Inc | Internal Medicine | 3838 San Dimas St, Building A Suite 250, Bakersfield, CA 93301-2284 | 2012-03-27 |
| 1114221785 | Pamela Idella Smith | Nurse Practitioner | 3838 San Dimas St, B-231, Bakersfield, CA 93301-2284 | 2010-12-22 |
| 1760703078 | Jing Zhou | Surgery | 3838 San Dimas St, Suite B231, Bakersfield, CA 93301-2284 | 2010-06-21 |
| 1417274465 | Zeba Yamin | Family Medicine | 3838 San Dimas St, Building A, Suite 200, Bakersfield, CA 93301-2284 | 2010-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891854089 | Richard R Oreilly | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2510 Twickenham Ct, Bakersfield, CA 93311-9268 | 2006-12-06 |
| 1073770954 | Patrick Paw Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3838 San Dimas St, Suite A-100, Bakersfield, CA 93301-2284 | 2008-05-19 |
| 1538350392 | Amir Berjis Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9900 Stockdale Hwy, Suite 206, Bakersfield, CA 93311-3632 | 2007-08-07 |
| 1578622148 | Rodrigo M. Miranda | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-12-08 |
| 1316026800 | Amir Berjis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9900 Stockdale Hwy, Suite 206, Bakersfield, CA 93311-3632 | 2006-11-03 |
| 1407956899 | California Cardiac Surgeons - A Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3838 San Dimas St, Suite A-100, Bakersfield, CA 93301-2284 | 2006-09-25 |
| 1043310436 | Sarabjit S. Purewal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3838 San Dimas St, Suite A-100, Bakersfield, CA 93301-2284 | 2006-09-25 |
| 1306946793 | Patrick T. Paw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3838 San Dimas St, Suite A-100, Bakersfield, CA 93301-2284 | 2006-09-25 |
| 1750363586 | Jemi Olak | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1830 Flower St, Bakersfield, CA 93305-4144 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
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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.