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ERIC J DIETRICH PA
NPI 1639137250
Physician Assistant - Surgical in Mission Viejo, CA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691(949) 364-1400 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Oct 24, 2020, Mar 15, 2016 (3 updates tracked since 2016).

About Eric J Dietrich Pa NPPES

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

ERIC J DIETRICH PA (NPI 1639137250) is an individual surgical provider in Mission Viejo, California, licensed in California (PA15996) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1639137250
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameERIC J DIETRICHCredential: PA
Location Address27700 MEDICAL CENTER RDMission Viejo, CA 92691-6426
Mailing Address22431 Antonio Pkwy # B160-613Rancho Santa Margarita, CA 92688-2804 · (833) 477-2677 · Fax (833) 477-2677
Phone(949) 364-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 3, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2020
✔ NPI 1639137250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA15996
27700 MEDICAL CENTER RD, Mission Viejo, CA 92691
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13801 S Harbor BlvdSanta Ana, CA 92704-7901 · Phone (714) 751-5555
Location 222431 Antonio Pkwy # B160-613Rancho Santa Margarita, CA 92688-2804 · Phone (833) 477-2677 · Fax (833) 477-2677

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

Eric J Dietrich Pa 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 ID4486820396
PECOS Enrollment IDI20111227000245
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.

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
12 services11 patients

Other Providers at the Same Location NPPES 20

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

CHELSEA ZIMMERMAN
Nurse Practitioner (Acute Care)
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (949) 364-1400
MISSION HOSPITAL REGIONAL MEDICAL CENTER
Rehabilitation Hospital
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (949) 364-1400
LAUREN ELIZABETH VENTO PA-C
Physician Assistant
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (949) 364-1400
JOHN ERIC MELLOTT P.A.
Physician Assistant
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (949) 364-1400
DHP OF MISSION MEDICAL GROUP INC
Orthopaedic Surgery
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (949) 364-1400
MS. BRENDI M GAYLE AG-ACNP
Nurse Practitioner (Acute Care)
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (949) 364-1400
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES
Emergency Medicine
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (844) 474-4019
DR. JIMMY TON M.D.
Radiology (Vascular & Interventional Radiology)
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691
Orange County (949) 364-1400

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 Dietrich's NPI number?

The NPI number for Eric Dietrich is 1639137250. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Eric Dietrich located?

Eric Dietrich practices at 27700 Medical Center Rd, Mission Viejo, CA 92691. The listed phone number is (949) 364-1400.

What is Eric Dietrich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Eric Dietrich enrolled in Medicare?

Yes. Eric Dietrich 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.

When was this NPI record last updated?

The NPPES record for Eric Dietrich was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.