DR. ERIC DEC (NPI# 1861614299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861614299 |
Entity Type | Individual |
Full Name | DR. ERIC DEC |
Credential | MD |
Practice Address |
34145 Pacific Coast Hwy # 803 Dana Point CA 92629-2808 |
Practice Telephone | (949) 632-2704 |
Mailing Telephone | (949) 632-2704 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
A108036 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00032570 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2500 N State St, Jackson, MS 392164500 | 6019841900 |
Street Address |
34145 PACIFIC COAST HWY # 803 |
City | DANA POINT |
State | CA |
Zip Code | 92629-2808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164941092 | Longevity Metrics Medical Group Inc | Medical Genetics | 34145 Pacific Coast Hwy # 803, Dana Point, CA 92629-2808 | 2017-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003443144 | Torrey Dawn Commisso | Counselor | 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 | 2020-03-26 |
1104466473 | Kirsten Noelle Yackley | Marriage & Family Therapist | 34202 Del Obispo, Dana Point, CA 92629 | 2020-01-14 |
1154971653 | Alicia Jolieta Ciriani | Technician | 25082 Perch Dr., Dans Point, CA 92629 | 2019-09-17 |
1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
1023572609 | Michelle Shickler | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
1649734427 | Gustavo Asencia | Behavioral Analyst | 32565 Golden Lantern Ste B180, Dana Point, CA 92629 | 2019-01-25 |
1275069684 | Mission Rehab, LLC. | Substance Abuse Rehabilitation Facility | 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 | 2017-05-04 |
1922548452 | Dana Point Rehab Campus | Substance Abuse Rehabilitation Facility | 33842 Orilla Rd, Dana Point, CA 92629 | 2017-03-02 |
1316340060 | Steven Edward Dunbar | Chiropractor | 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 | 2014-10-08 |
1427476183 | Lorraine Ann Sherrie | Occupational Therapy Assistant | 24242 La Cresta, Ot Department, Dana Point, CA 92629 | 2014-03-31 |
Find all providers in zip 92629 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164941092 | Longevity Metrics Medical Group Inc | Medical Genetics | 34145 Pacific Coast Hwy # 803, Dana Point, CA 92629-2808 | 2017-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588282263 | Sabrina Flores Cheng | Medical Genetics | 8 Hill St, Mill Valley, CA 94941-2007 | 2020-07-09 |
1972034841 | David Randall Blair | Medical Genetics | 550 16th St # 706, San Francisco, CA 94158-2545 | 2017-03-23 |
1841747052 | Risa Peoples | Medical Genetics | 743 Cereza Dr, Palo Alto, CA 94306-3145 | 2016-09-06 |
1659739472 | John David Stephens X | Medical Genetics | 220 S California Ave Ste 106, Palo Alto, CA 94306-1636 | 2016-02-08 |
1043576069 | Heather Marshall Byers | Medical Genetics | 300 Pasteur Dr Rm A097, Stanford, CA 94305-2200 | 2012-04-03 |
1275821555 | Cristel C Chapel Crespo | Medical Genetics | Choc Childrens, 1201 W La Veta Ave, Orange, CA 92868 | 2011-07-20 |
1437471810 | Jaime J Barea | Medical Genetics | 9300 Valley Childrens Pl # Ge21, Madera, CA 93636-8761 | 2010-02-25 |
1023218062 | Tom W Chu | Medical Genetics | 1025 Cascade Dr, Sunnyvale, CA 94087-4003 | 2007-07-18 |
1023224557 | Thomas Slavin Jr. | Medical Genetics | 2430 Cross St, La Crescenta, CA 91214-3103 | 2007-05-14 |
1164541181 | Matthew Deardorff | Medical Genetics | 4650 W Sunset Blvd # Ms 43, Los Angeles, CA 90027-6062 | 2007-03-29 |
Find all providers with the same taxonomy |
City | DANA POINT |
Zip Code | 92629 |
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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.