ERIC DAVID LAVIADDIN (NPI# 1245546860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245546860 |
| Entity Type | Individual |
| Full Name | ERIC DAVID LAVIADDIN |
| Credential | PA |
| Practice Address |
20800 Sherman Way Winnetka CA 91306-2707 |
| Mailing Address |
8902 Woodman Ave Arleta CA 91331-6401 |
| Practice Telephone | 8188832273 |
| Mailing Telephone | 8188832273 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA20713 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1083624423 | 05 | |
| CA | MEDICARE FQHC | 051104 | 01 |
| CA | MEDICARE FQHC | 051105 | 01 |
| Street Address |
20800 SHERMAN WAY |
| City | WINNETKA |
| State | CA |
| Zip Code | 91306-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538130893 | El Proyecto Del Barrio, Inc | Clinic/Center | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2006-01-26 |
| 1902378862 | Violeta Gallegos | Nurse Practitioner | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2018-12-17 |
| 1346788536 | Sihana Rugova | Dentist | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2017-02-07 |
| 1194275925 | Pharmedquest Pharmacy Services | Pharmacy | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2016-10-05 |
| 1962853804 | Veronica Matlock | Nurse Practitioner | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2016-06-22 |
| 1376934174 | Tina Donaldson | Emergency Medical Technician, Basic | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2015-02-16 |
| 1811390651 | Frederick Fernandez | Nurse Practitioner | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2014-10-08 |
| 1912346719 | Stanislav Spasov | Dentist | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2013-06-14 |
| 1235400185 | Patricia Najarro | Case Manager/Care Coordinator | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2012-01-24 |
| 1104100197 | Elenita Lucero Wheeler | General Practice | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2011-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
| 1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
| 1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
| 1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
| 1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
| 1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
| 1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
| 1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
| 1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
| 1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
| Find all providers in zip 91306 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467564724 | Humberto Jose Barboza | Physician Assistant | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ERIC DAVID LAVIADDIN.
| 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.