Provider Demographics
NPI:1134271802
Name:ERIC BACHELOR, M.D., A.P.C.
Entity type:Organization
Organization Name:ERIC BACHELOR, M.D., A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:P
Authorized Official - Last Name:BACHELOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-462-3700
Mailing Address - Street 1:1387 SANTA RITA RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-5643
Mailing Address - Country:US
Mailing Address - Phone:925-462-3700
Mailing Address - Fax:925-462-4681
Practice Address - Street 1:1387 SANTA RITA RD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-5643
Practice Address - Country:US
Practice Address - Phone:925-462-3700
Practice Address - Fax:925-462-4681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG330120174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA45382Medicare UPIN
CA00G330123Medicare PIN