DR. ERIC MARTIN MOLL (NPI# 1861585887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861585887 |
| Entity Type | Individual |
| Full Name | DR. ERIC MARTIN MOLL |
| Credential | MD |
| Practice Address |
147 N Brent Sreet Ventura CA 93003 |
| Mailing Address |
960 Peninsula St Ventura CA 93001-3954 |
| Practice Telephone | 8056525011 |
| Practice Fax Number | 8055853007 |
| Mailing Telephone | 8056525018 |
| Mailing Fax Number | 8056500474 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | G68497 | CA | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | 050394 | 01 |
| CA | HSC30394F | 05 | |
| CA | ZZT40394F | 05 | |
| CA | BLUE SHIELD | ZZZ53994Z | 01 |
| CA | BLUE SHIELD | ZZZA56032 | 01 |
| CA | LICENSE NUMBER | G68497 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881196517 | Eric Daniel Moll | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2018-03-08 |
| 1558449231 | Eric D. Moll | Family Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| Street Address |
147 N BRENT SREET |
| City | VENTURA |
| State | CA |
| Zip Code | 93003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437367307 | Jerry Owen Waters | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2007-05-21 |
| 1174698351 | Jill E. Furgurson | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-11-22 |
| 1922106475 | Marc A Reinoso | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| 1629176284 | Richard Blackmar Browne | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| 1902904493 | David Lewis Lebell | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| 1053419440 | Chris Dean Johnson | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| 1770681116 | Alexander Kowblansky | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750895405 | Nora G Ferguson | Personal Emergency Response Attendant | 12245 Manor Dr Apt C, Hawthorne, CA 90250-3751 | 2017-11-16 |
| 1689118614 | Vincent Viola | Personal Emergency Response Attendant | 5055 Walnut Park Dr, Santa Barbara, CA 93111-1837 | 2016-12-09 |
| 1497100382 | Henry Davis Harris | Personal Emergency Response Attendant | 4632 1/2 St Charles Pl, Los Angeles, CA 90019-5730 | 2016-04-28 |
| 1659789543 | Judith Daley | Personal Emergency Response Attendant | 211 Hidden Ln, Santa Cruz, CA 95060-1276 | 2014-07-24 |
| 1679816391 | Emma M Dermody | Personal Emergency Response Attendant | 4482 Hyacinth Ave, Oakland, CA 94619-2816 | 2013-04-01 |
| 1245570670 | Lewis Rosenberg | Personal Emergency Response Attendant | 3790 Parkview Dr, Lakewood, CA 90712-3843 | 2013-02-21 |
| 1003106170 | Instant Care, Inc. | Personal Emergency Response Attendant | 2310 Cousteau Ct, Vista, CA 92081-8346 | 2011-04-11 |
| 1558651711 | Tristan David Cavender | Personal Emergency Response Attendant | 915 57th St, San Diego, CA 92114-1205 | 2011-04-08 |
| 1104115195 | Nejat Basiratmand | Personal Emergency Response Attendant | 17740 Burbank Blvd, # 101, Encino, CA 91316-1648 | 2011-03-31 |
| 1821392390 | Muna Vienna | Personal Emergency Response Attendant | 1275 Quarry St, Corona, CA 92879-1707 | 2010-12-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ERIC MARTIN MOLL.
| 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.