DR. NEILDA ERICKSON DPM - NPI 1548993181 - Podiatrist in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

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About Dr. Neilda Erickson Dpm NPPES

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

DR. NEILDA ERICKSON DPM (NPI 1548993181) is an individual foot & ankle surgery provider in Santa Monica, California, licensed in California (E6100) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of Kent State University College Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1548993181

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. NEILDA ERICKSONCredential: DPM

Location Address2121 WILSHIRE BLVD STE 101Santa Monica, CA 90403-5742

Mailing Address1660 Feehanville Dr Ste 450Mount Prospect, IL 60056-6023 · (858) 450-9218

Phone(310) 828-0011

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2022

Enumeration DateJuly 1, 2022

Last NPPES UpdateJune 16, 20252 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1548993181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in CA · E6100

Also ListedPodiatristTaxonomy 213E00000X · License 1564 (MA), E6100 (CA)

2121 WILSHIRE BLVD STE 101, Santa Monica, CA 90403

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Secondary Practice Location 1

Location 1123 Summer StWorcester, MA 01608-1216 · Phone (508) 363-6177

Other Identifiers 1

MedicaidPENDINGMA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neilda Erickson Dpm 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 ID3779006366

PECOS Enrollment IDI20250324003393

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.

Other Providers at the Same Location NPPES 7

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

JAFARY FOOT & ANKLE SPECIALISTS LLC

Podiatrist (Foot & Ankle Surgery)