ERIC SPEARE M.D. A MEDICAL CORPORATION
NPI 1124398151
Psychiatry & Neurology - Psychiatry in Dana Point, CA

Active since January 06, 2012
33971 SELVA RD, SUITE 150, DANA POINT, CA 92629(949) 493-6633(949) 493-0669 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric Speare M.d. A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC SPEARE M.D. A MEDICAL CORPORATION (NPI 1124398151) is a healthcare organization registered as a psychiatry in Dana Point, California and active in the NPI registry since January 2012. The organization lists Eric Speare, Owner, as its authorized official.

NPPES Registry Identity

NPI1124398151
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameERIC SPEARE M.D. A MEDICAL CORPORATION
Location Address33971 SELVA RD, SUITE 150Dana Point, CA 92629-3788
Mailing Address33971 Selva Rd, Suite 150Dana Point, CA 92629-3788 · (949) 493-6633 · Fax (949) 493-0669
Fax(949) 493-0669
Organization SubpartNo
Authorized OfficialEric SpeareOwner · (949) 493-6633
Enumeration DateJanuary 6, 2012
Last NPPES UpdateJanuary 12, 2012
✔ NPI 1124398151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · G36043
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
33971 SELVA RD, Dana Point, CA 92629

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Speare M.d. A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120120000353Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eric Speare M.D. A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1306984570
33971 SELVA RD STE 150
Dana Point, CA 92629
(949) 493-6633
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Speare M.D. A Medical Corporation's NPI number?

The NPI number for Eric Speare M.D. A Medical Corporation is 1124398151. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Eric Speare M.D. A Medical Corporation located?

Eric Speare M.D. A Medical Corporation is located at 33971 Selva Rd Suite 150, Dana Point, CA 92629. The listed phone number is (949) 493-6633.

What is Eric Speare M.D. A Medical Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Eric Speare M.D. A Medical Corporation enrolled in Medicare?

Yes. Eric Speare M.D. A Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Eric Speare M.D. A Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eric Speare M.D. A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Eric Speare M.D. A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eric Speare M.D. A Medical Corporation was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.