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ERIEL DATUIN MD
NPI 1487230249
Family Medicine in Rancho Santa Margarita, CA

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
29472 AVENIDA DE LAS BANDERAS, RANCHO SANTA MARGARITA, CA 92688(949) 459-9968(949) 766-2565 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2024, Aug 6, 2024, Mar 25, 2021 (3 updates tracked since 2021).

About Eriel Datuin Md NPPES

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

ERIEL DATUIN MD (NPI 1487230249) is an individual family medicine provider in Rancho Santa Margarita, California, licensed in California (A196161) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2021).

NPPES Registry Identity

NPI1487230249
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERIEL DATUINCredential: MD
Location Address29472 AVENIDA DE LAS BANDERASRancho Santa Margarita, CA 92688-2651
Mailing Address29472 Avenida De Las BanderasRancho Santa Margarita, CA 92688-2651 · (949) 459-9968 · Fax (949) 766-2565
Phone(949) 459-9968
Fax(949) 766-2565
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1487230249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A196161
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
29472 AVENIDA DE LAS BANDERAS, Rancho Santa Margarita, CA 92688
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eriel Datuin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709325079
PECOS Enrollment IDI20240830000248
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Eriel Datuin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorialcare Medical Foundation
21 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622
Southern California Permanente Medical Group
21 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92688 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY AGUILAR DNP FNP-C, RN
Nurse Practitioner (Family)
29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 459-9968
TRI COLIN CONG TRAN PA-C
Physician Assistant (Medical)
29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 459-9968
IWAN NYOTOWIDJOJO M.D.
Internal Medicine
29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 459-9968
JOHN PATRICK FOLEY MD
Family Medicine
29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 459-9969
ANNELISE MERRINER PA-C
Physician Assistant
29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 459-9968
HUY MINH HUYNH DO
Family Medicine
29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 459-9966

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 Eriel Datuin's NPI number?

The NPI number for Eriel Datuin is 1487230249. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Eriel Datuin located?

Eriel Datuin practices at 29472 Avenida De Las Banderas, Rancho Santa Margarita, CA 92688. The listed phone number is (949) 459-9968.

What is Eriel Datuin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eriel Datuin enrolled in Medicare?

Yes. Eriel Datuin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eriel Datuin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eriel Datuin reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Southern California Permanente Medical Group (Riverside, CA). Each 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 Eriel Datuin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eriel Datuin was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.