MR. ERIC RICHARD BERGSTROM (NPI# 1568578268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568578268 |
| Entity Type | Individual |
| Full Name | MR. ERIC RICHARD BERGSTROM |
| Credential | CHIROPRACTOR DC |
| Practice Address |
22222 La Palma Ave Yorba Linda CA 92887 |
| Practice Telephone | 7146927138 |
| Practice Fax Number | 7146927141 |
| Mailing Telephone | 7146927138 |
| Mailing Fax Number | 7146927141 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC22499 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326401142 | Eric Bergstrom | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2016-03-30 |
| 1780903237 | Eric Allan Bergstrom | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2010-05-24 |
| 1144425141 | Eric Bergstrom | Anesthesiology | 225 S Lake Ave, 535, Pasadena, CA 91101-3005 | 2007-06-19 |
| 1588687040 | Eric John Bergstrom | Optometrist | 20 Boston St, Seattle, WA 98109 | 2006-07-25 |
| Street Address |
22222 LA PALMA AVE |
| City | YORBA LINDA |
| State | CA |
| Zip Code | 92887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013023712 | Kevin Lawrence Shaevitz | Chiropractor | 22222 La Palma Ave, Yorba Linda, CA 92887 | 2006-08-23 |
| 1063830537 | Dr. Kevin Shaevitz Chiropractic Inc | Chiropractor | 22222 La Palma Ave, Ste A, Yorba Linda, CA 92887-3813 | 2014-04-02 |
| 1801152046 | Orange County Medical Management Inc | Non-Pharmacy Dispensing Site | 22222 La Palma Ave, Yorba Linda, CA 92887-3813 | 2012-04-02 |
| 1457632887 | Orange County Medical Management | Family Medicine | 22222 La Palma Ave, Yorba Linda, CA 92887-3813 | 2011-08-30 |
| 1932315835 | Sports Wellness Center | Chiropractor | 22222 La Palma Ave, Yorba Linda, CA 92887-3813 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783828 | Lorraine Le Stephens | Nurse Practitioner | 23561 Salerno Way, Yorba Linda, CA 92887 | 2019-10-29 |
| 1578111381 | Jeremiah Nathan Casino | Physical Therapist | 23655 Via Del Rio Ste C, Yorba Linda, CA 92887 | 2019-08-27 |
| 1740736925 | Ta-kai Home Care, Inc. | In Home Supportive Care | 22343 La Palma Avenue, Suite 116, Yorba Linda, CA 92887 | 2016-08-29 |
| 1346624285 | Jason Kahlon | Internal Medicine | 5130 Avenida De Despacio, Yorba Linda, CA 92887 | 2015-07-09 |
| 1245641299 | Chienho Chen Dental Group, A Professional Corporation | Dentist | 21560 Yorba Linda Blvd., #c, Yorba Linda, CA 92887 | 2014-05-13 |
| 1952650053 | Tanida Tammy Vidhyarkorn | Pharmacist | 5570 Via Verano, Yorba Linda, CA 92887 | 2012-09-05 |
| 1225386576 | Anita Neela Rathod | Dentist | 4915 Yorba Ranch Road, Ste. A, Yorba Linda, CA 92887 | 2012-08-16 |
| 1649533241 | Marian Cabero Peyton | Licensed Vocational Nurse | 4950 Windy Circle, Yorba Linda, CA 92887 | 2012-06-19 |
| 1407099732 | Lakewood Pathology Associates, Inc. | Pathology | 5470 Blue Ridge Dr, Yorba Linda, CA 92887 | 2009-04-16 |
| 1467606517 | Yenling Vickie Lin | Dentist | 21560 Yorba Linda Blvd Stec&d, Yorba Linda, CA 92887 | 2008-11-14 |
| Find all providers in zip 92887 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790181535 | Jing Zhang | Chiropractor | 17451 Bastanchury Rd Ste 101f, Yorba Linda, CA 92886-1870 | 2014-11-06 |
| 1649691874 | Janine Chow | Chiropractor | 18200 Yorba Linda Blvd Ste 109d, Yorba Linda, CA 92886-4006 | 2013-12-13 |
| 1386856847 | Hansen Chiropractic Inc | Chiropractor | 4676 Lakeview Ave Ste 103, Yorba Linda, CA 92886-2466 | 2007-05-04 |
| 1255476602 | Paul Ciano | Chiropractor | 5401 Via Vicente, Yorba Linda, CA 92887-2541 | 2007-02-21 |
| 1235281676 | John Zara Moloian | Chiropractor | 18340 Yorba Linda Blvd Ste 105, Yorba Linda, CA 92886-4041 | 2007-01-17 |
| 1124190038 | Jeffrey Talbott | Chiropractor | 3890 Prospect Ave Ste A, Yorba Linda, CA 92886-1726 | 2006-11-15 |
| 1396815197 | Bradley Michael Judd | Chiropractor | 18256 Imperial Hwy, Yorba Linda, CA 92886-3411 | 2006-11-09 |
| 1386720597 | Teresa Marie Wisner | Chiropractor | 4865 Main Street, Yorba Linda, CA 92886 | 2006-10-31 |
| 1114018041 | Robert Kenneth Ornelas | Chiropractor | 20421 Yorba Linda Blvd, Yorba Linda, CA 92886-3042 | 2006-09-27 |
| 1326142357 | Terry W Wilson Dc | Chiropractor | 24835 La Palma Ave Ste D, Yorba Linda, CA 92887-5532 | 2006-09-11 |
| Find all providers in YORBA LINDA | ||||
| City | YORBA LINDA |
| Zip Code | 92887 |
Please comment or provide details below to improve the information on MR. ERIC RICHARD BERGSTROM.
| 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.