FLAVIEN ERIC LECLERE (NPI# 1972966828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972966828 |
| Entity Type | Individual |
| Full Name | FLAVIEN ERIC LECLERE |
| Practice Address |
1350 W Covina Blvd San Dimas CA 91773-3245 |
| Mailing Address |
2051 Marengo St Los Angeles CA 90033-1352 |
| Practice Telephone | 9095996811 |
| Practice Fax Number | 8185872493 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A151159 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2051 Marengo St, Los Angeles, CA 900331352 | 3234091000 |
| Street Address |
1350 W COVINA BLVD |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386638054 | Roy H Moffatt | Pathology | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2005-09-08 |
| 1760007181 | Timothy Minnihan | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-11 |
| 1336764091 | Janice Floria Valledor | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1508481276 | Maria Norma Velvick | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1255956900 | Lori Longmeyer | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1447875190 | Teresa Schmook | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1609491372 | Maria Sagrario Arias Azurin | Registered Nurse | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2020-06-09 |
| 1386961456 | Earl Justin Macaso | Dietitian, Registered | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2010-04-28 |
| 1558595967 | Ray Zhao | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2009-05-13 |
| 1720239460 | San Dimas Emergency Medical Associates Inc. | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2008-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760595490 | David K Young | Emergency Medicine | 1785 Paseo Granada, San Dimas, CA 91773-4339 | 2006-08-16 |
| 1558595967 | Ray Zhao | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2009-05-13 |
| 1720239460 | San Dimas Emergency Medical Associates Inc. | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2008-09-30 |
| 1003855826 | James V Pagano | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2006-06-06 |
| 1700824083 | Bruce M Hensel | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2006-06-02 |
| 1699713875 | Donaciano T Astudillo | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2006-06-02 |
| 1649218835 | Glenn I Kane | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2006-06-02 |
| 1982642161 | Deanna J Anthoney | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2006-06-02 |
| 1104873413 | Nadine Konia | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2006-05-30 |
| 1174578298 | Corbett G Peek | Emergency Medicine | 1350 W Covina Blvd, San Dimas, CA 91773-3245 | 2006-05-24 |
| Find all providers in SAN DIMAS | ||||
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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.