NPI |
1801545843 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Last Name Legal Name |
ECKER |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider First Name |
LIAM |
The first name of the provider, if the provider
is an individual. |
Provider Middle Name |
M |
The middle name of the provider, if the provider
is an individual. |
Provider First Line Business Practice Location Address |
5333 MISSION CENTER RD STE 110 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider Business Practice Location Address City Name |
SAN DIEGO |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Business Practice Location Address State Name |
CA |
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. |
Provider Business Practice Location Address Postal Code |
921081347 |
The name of the organization provider. If the provider is an organization, this is the legal business name. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Business Practice Location Address Telephone Number |
8552237123 |
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot
include a Post Office box. |
Provider Business Practice Location Address Fax Number |
6193747134 |
The city name in the location address of the provider being identified. |
Provider Enumeration Date |
3/18/2022 |
The State code in the location of the provider
being identified. |
Last Update Date |
11/23/2023 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Gender Code |
M |
The country code in the location address of the provider being identified. |
Healthcare Provider Taxonomy Code 1 |
171M00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
NPI Certification Date |
11/23/2023 |
|