ERIC L SHEPARD (NPI# 1558443614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558443614 |
| Entity Type | Individual |
| Full Name | ERIC L SHEPARD |
| Credential | M.D. |
| Practice Address |
802 Magnolia Ave Ste. 200 Corona CA 92879-3104 |
| Mailing Address |
4244 Riverwalk Pkwy Ste 240 Riverside CA 92505-3372 |
| Practice Telephone | 9517342900 |
| Practice Fax Number | 9517340385 |
| Mailing Telephone | 9517342900 |
| Mailing Fax Number | 9517340385 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A42447 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769684 | Eric Alan Shepard | Case Manager/Care Coordinator | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-08-03 |
| 1689021107 | Eric Nathan Shepard | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Room 5867, Indianapolis, IN 46202-5109 | 2016-05-16 |
| 1124061643 | Eric Shepard | Anesthesiology | 110 S Paca St, Suite 300 6th Fl, Baltimore, MD 21201-1642 | 2006-06-13 |
| Street Address |
802 MAGNOLIA AVE STE. 200 |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464048 | Farough Owiesy | Emergency Medicine | 802 Magnolia Ave, Suite #106, Corona, CA 92879-3125 | 2005-08-13 |
| 1467067033 | Kylie Lei Patrick | Behavioral Analyst | 802 Magnolia Ave, Corona, CA 92879-3104 | 2020-09-10 |
| 1609401314 | Crystal Yisel Valiente | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2020-03-03 |
| 1376102541 | Jada Carmichael | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2019-06-11 |
| 1073093209 | Miriam Doreen Torres | Behavioral Analyst | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-08-16 |
| 1164923306 | Hajara Azeem | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-02-23 |
| 1548761521 | Brynn Burciaga | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-02-23 |
| 1225579279 | Rebecca John | Nurse Practitioner | 802 Magnolia Ave, Ste 205, Corona, CA 92879-3104 | 2017-03-09 |
| 1841655099 | Algos Inc., A Medical Corporation | Psychologist | 802 Magnolia Ave, Suite 206, Corona, CA 92879-3104 | 2015-12-15 |
| 1447622048 | Brianna Segura | Behavioral Analyst | 802 Magnolia Ave, Suite 200, Corona, CA 92879-3104 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1295753960 | Edward Jeku Yun | Urology | 801 S. Main St., Suite 201, Corona, CA 92882 | 2006-07-18 |
| 1689601536 | The Urology Center of Southern California | Urology | 801 South Main St., Suite 201, Corona, CA 92882 | 2006-06-27 |
| 1053301440 | Carl J Walker | Urology | 1820 Fullerton Ave, #260, Corona, CA 92881-3101 | 2005-10-26 |
| 1285627224 | Frank H Kim | Urology | 801 S Main St Ste 201, Corona, CA 92882-3410 | 2005-08-24 |
| 1750301008 | Bruce Houman | Urology | 1820 Fullerton Ave, Suite 260, Corona, CA 92881-3175 | 2006-07-20 |
| 1194743864 | Sy Tsi | Urology | 801 S. Main St., Suite 201, Corona, CA 92882 | 2006-07-18 |
| 1447296090 | Erin E Katz | Urology | 21634 Retreat Pkwy, Corona, CA 92883-6100 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| 1366924615 | Se H Whang | Urology | 4 Charmony Apt Suite, Laguna Niguel, CA 92677-2900 | 2018-09-04 |
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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.