KENNETH D ERICKSON (NPI# 1306971601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306971601 |
| Entity Type | Individual |
| Full Name | KENNETH D ERICKSON |
| Credential | D.C. |
| Practice Address |
14150 Culver Dr Suite# 103 Irvine CA 92604-0315 |
| Mailing Address |
15520 Rockfield Blvd Ste A200 Irvine CA 92618-6705 |
| Practice Telephone | 9498571888 |
| Practice Fax Number | 9498574536 |
| Mailing Telephone | 9495989999 |
| Mailing Fax Number | 9495989990 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 25690 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ50052Z | 01 |
| CA | DC LICENSE | DC25690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891075156 | Kenneth Robert Erickson Jr. | Pharmacist | 2636 Mountain View Rd, Stafford, VA 22556-6251 | 2011-08-18 |
| 1043375603 | Kenneth John Erickson | Chiropractor | 428 Fairmount Ave. W.e., Jamestown, NY 14701 | 2006-12-26 |
| 1104170760 | Kenneth E Erickson | Hearing Instrument Specialist | 1337 Towne Square Blvd Nw, Roanoke, VA 24012-1610 | 2012-11-05 |
| 1184848897 | Kenneth Wayne Erickson | Nurse Practitioner | 1420 W H St, Oakdale, CA 95361-3557 | 2007-04-12 |
| 1639110331 | Kenneth R. Erickson | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3766 | 2006-06-10 |
| Street Address |
14150 CULVER DR SUITE# 103 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-0315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621342 | Bruce Paul Marcus | Psychologist | 14150 Culver Dr, Ste 201, Irvine, CA 92604-0315 | 2005-10-04 |
| 1326596925 | Envision Sport Physical Therapy & Pilates | Physical Therapist | 14150 Culver Dr, Suite 103, Irvine, CA 92604-0315 | 2016-09-13 |
| 1417234162 | Manal Aziz Dds Inc | Dentist | 14150 Culver Dr, Suite 205, Irvine, CA 92604-0315 | 2011-11-09 |
| 1104111251 | Allergy and Asthma Clinics of Orange County | Allergy & Immunology | 14150 Culver Dr, Ste 302, Irvine, CA 92604-0315 | 2011-06-16 |
| 1255623245 | Ramona Elizabeth Johnson | Family Medicine | 14150 Culver Dr, Irvine, CA 92604-0315 | 2011-05-09 |
| 1114243763 | Farid Azhir | Marriage & Family Therapist | 14150 Culver Dr, Suite 307, Irvine, CA 92604-0315 | 2010-04-07 |
| 1346576469 | Caithness Amy Rodriguez | Family Medicine | 14150 Culver Dr, Suite 100, Irvine, CA 92604-0315 | 2009-10-23 |
| 1972732253 | Kevin Parker | Chiropractor | 14150 Culver Dr, Suite 103, Irvine, CA 92604-0315 | 2009-07-08 |
| 1154582757 | David E Rice | Marriage & Family Therapist | 14150 Culver Dr, Suite 203, Irvine, CA 92604-0315 | 2008-06-17 |
| 1902089808 | Irvine Family Practice Medical | Family Medicine | 14150 Culver Dr, Suite 100, Irvine, CA 92604-0315 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| 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 |
|---|---|---|---|---|
| 1033741145 | Faraz Ozlati | Chiropractor | 400 Limestone Apt 115, Irvine, CA 92603-4106 | 2020-02-06 |
| 1114404142 | Christina Goulart | Chiropractor | 5201 Mirasol, Irvine, CA 92620-0320 | 2018-07-23 |
| 1225524689 | Robert Paul Iannessa Jr. | Chiropractor | 2004 Mcgaw Ave, Irvine, CA 92614-0911 | 2018-07-09 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1588166367 | Chilinh Dinh Nguyen | Chiropractor | 4466 Sandburg Way, Irvine, CA 92612-2738 | 2018-03-07 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1225544976 | The Functional Medicine Center | Chiropractor | 2081 Business Center Dr Ste 175, Irvine, CA 92612-1131 | 2017-12-18 |
| 1568981868 | Brian David Harbin | Chiropractor | 6 Venture Ste 115, Irvine, CA 92618-7347 | 2017-09-18 |
| 1821513706 | Delaram Shekarriz | Chiropractor | 17975 Sky Park Cir Ste C, Irvine, CA 92614-6329 | 2017-08-11 |
| 1467977306 | Rong Zhang | Chiropractor | 113 Waterworks Way Ste 250, Irvine, CA 92618-3169 | 2017-08-11 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on KENNETH D ERICKSON.
| 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.