DR. ERIC R CRUM (NPI# 1285825307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285825307 |
| Entity Type | Individual |
| Full Name | DR. ERIC R CRUM |
| Credential | DMD |
| Practice Address |
1000 W Carson St Torrance CA 90502-2004 |
| Mailing Address |
1000 W Carson St # 25 Torrance CA 90502-2059 |
| Practice Telephone | 4243064263 |
| Practice Fax Number | 3105332210 |
| Mailing Telephone | 4243064263 |
| Mailing Fax Number | 3105332210 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
59969 | CA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D 8462 | AZ | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | D-9506 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20950 N Tatum Blvd Ste 112, Phoenix, AZ 850504204 | 4805633960 | 4805633965 |
| 1670 E 120th St, Los Angeles, CA 900593026 | 4243381303 | 3105332210 |
| 3000 L St Ste 205, Sacramento, CA 958165248 | 9164521884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346259520 | Eric R Crum | Chiropractor | 1390 S. Maple Grove Road, Suite 200, Boise, ID 83709-1562 | 2006-08-05 |
| Street Address |
1000 W CARSON ST |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324885 | Timothy L Vannatta | Surgery | 1000 W Carson St, Box 42, Torrance, CA 90502-2004 | 2005-08-30 |
| 1396354825 | Jonica Marie Rivas (gonzalez) | Registered Nurse | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-30 |
| 1871102475 | Ronald Calderon | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-29 |
| 1396353058 | Stephanie Munoz | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-20 |
| 1720606247 | Fabiola Saucedo Macias | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-10 |
| 1235755489 | Haya Nemtzov | Nurse Practitioner | 1000 W Carson St, Torrance, CA 90502-2059 | 2020-06-24 |
| 1588280945 | Ana Gabriela Vargas Garcia | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-06-22 |
| 1699397984 | Edmond Ebubechukwu Onwukwe | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-05-11 |
| 1902428238 | Jared Joshua Johnson | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2020-05-08 |
| 1427679356 | Jonathan Rodney | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891926341 | Benjamin Yagoubian | Dentist | 23451 Madison St Ste 120, Torrance, CA 90505-4736 | 2009-07-31 |
| 1861548323 | Ramtin Vahadi, Md PC | Dentist | 3660 Lomita Blvd, Torrance, CA 90505-3938 | 2007-01-26 |
| 1427082999 | Mark Evan Oseas | Dentist | 3771 W 242nd St, Suite 102, Torrance, CA 90505-6566 | 2006-07-10 |
| 1700888278 | Paul Grin | Dentist | 3475 Torrance Blvd, Suite H, Torrance, CA 90503-5800 | 2005-08-12 |
| 1154878544 | Benjamin Yagoubian Dds, Md A PC | Dentist | 23451 Madison St Ste 120, Torrance, CA 90505-4736 | 2016-09-02 |
| 1962823062 | Smith & Tchon, D.d.s., Inc. | Dentist | 3661 Torrance Blvd, Suite 100, Torrance, CA 90503-4812 | 2013-12-17 |
| 1932410842 | Jacob Theodore Agatstein | Dentist | 1000 W Carson St, Torrance, CA 90502-2004 | 2010-06-24 |
| 1982937785 | Portia Denise Turner | Dentist | 1000 W Carson St, Box 19, Torrance, CA 90502-2004 | 2009-09-10 |
| 1285887059 | Samuel Tchon | Dentist | 3661 Torrance Blvd, Suite 100, Torrance, CA 90503-4812 | 2008-10-24 |
| 1285891366 | David Allan Smith | Dentist | 3661 Torrance Blvd, Ste 100, Torrance, CA 90503-4812 | 2008-05-17 |
| Find all providers in TORRANCE | ||||
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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.