ERIC R. HUBBARD DPM PC NPI 1760600621

NPI Information

NPI: 1760600621
Provider Name: ERIC R. HUBBARD, DPM, PC
Classification: Podiatrist - 213ES0131X
Specialization: Foot Surgery
Entity Type: Organization
Doing Business As: MEMORIAL PODIATRY GROUP
CLIA Number: 05D0554416
Address: 2333 PACIFIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 426-5151

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NPI Details

ERIC R. HUBBARD, DPM, PC is a foot surgery podiatrist in Long Beach, CA. ERIC R. HUBBARD, DPM, PC NPI is 1760600621. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Memorial Podiatry Group.

The provider's business location address is:

2333 PACIFIC AVE
LONG BEACH, CA
ZIP 90806-025
Phone: (562) 426-5151
Fax: (562) 424-9935

The provider's authorized official is Millie K Hubbard .
The authorized official title is Officer And Shareholder and has the following contact phone number (562) 426-5151.

The CLIA number assigned to this NPI record is 05D0554416 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/23/2007 and was last updated on 4/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	E1294	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T10878	MEDICARE UPIN	CALIFORNIA
2	000E12940	MEDICAID	CALIFORNIA
3	W16503	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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