ERIC J DIETRICH (NPI# 1639137250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639137250 |
| Entity Type | Individual |
| Full Name | ERIC J DIETRICH |
| Credential | PA |
| Practice Address |
27700 Medical Center Rd Mission Viejo CA 92691-6426 |
| Mailing Address |
22431 Antonio Pkwy # B160-613 Rancho Santa Margarita CA 92688-2804 |
| Practice Telephone | 9493641400 |
| Mailing Telephone | 8334772677 |
| Mailing Fax Number | 8334772677 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA15996 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | MD0754829 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, CA 926882804 | 8334772677 | 8334772677 |
| 3801 S Harbor Blvd, Santa Ana, CA 927047901 | 7147515555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235427840 | Eric A Dietrich | Pharmacist | 625 Sw 4th Ave, Gainesville, FL 32601-6430 | 2011-07-16 |
| Street Address |
27700 MEDICAL CENTER RD |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240637 | Elliot M Sacks | Radiology | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2005-07-28 |
| 1619584356 | Cory Sessum | Specialist/Technologist, Other | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2020-09-27 |
| 1740804095 | Madeline R Dapper | Registered Nurse | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2020-06-02 |
| 1518507987 | Kaveh Mashkouri | Physician Assistant | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2020-01-13 |
| 1336601715 | Dennis Ulep | Nurse Practitioner | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2019-04-03 |
| 1194289868 | Farhad Nikoo Inc | Clinical Nurse Specialist | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2019-01-28 |
| 1932601473 | Diana Beatrix Dauz Tai | Nurse Practitioner | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2018-02-28 |
| 1568963411 | Vanessa Joy Stowasser | Nurse Practitioner | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2018-02-26 |
| 1003315854 | Chelsea Zimmerman | Nurse Practitioner | 27700 Medical Center Rd, Mission Viejo, CA 92691 | 2018-02-07 |
| 1528586799 | Mehdi Amiri | Pharmacist | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194758086 | Henry D Macias | Physician Assistant | 26821 Magdalena Ln, Mission Viejo, CA 92691-6223 | 2006-07-07 |
| 1700843059 | Jason W Knott | Physician Assistant | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-04-28 |
| 1427599570 | Healthcare Service Partners Inc | Physician Assistant | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2017-03-09 |
| 1235569799 | Martha Scurr | Physician Assistant | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2013-11-20 |
| 1457645574 | Candice Nicole Castro | Physician Assistant | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2011-06-06 |
| 1912230046 | Elizabeth Anne Moskaitis | Physician Assistant | 26732 Crown Valley Pkwy, Suite 351, Mission Viejo, CA 92691-6306 | 2009-09-08 |
| 1477511095 | Charles L Stewart | Physician Assistant | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 2006-05-03 |
| 1942201553 | Heather Alison Grady | Physician Assistant | 26732 Crown Valley Pkwy, Suite 351, Mission Viejo, CA 92691-6306 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on ERIC J DIETRICH.
| 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.