EAG PROFESSIONAL MEDICAL CORP.
NPI 1841483427
Psychiatry & Neurology - Psychiatry in Ceres, CA

Active since August 27, 2007
1809 CENTRAL AVE STE C, CERES, CA 95307(209) 537-4434(209) 551-3255 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eag Professional Medical Corp. NPPES

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

EAG PROFESSIONAL MEDICAL CORP. (NPI 1841483427) is a healthcare organization registered as a psychiatry in Ceres, California and active in the NPI registry since August 2007. The organization lists Eleuterio Arcangel Go, President, as its authorized official.

NPPES Registry Identity

NPI1841483427
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameEAG PROFESSIONAL MEDICAL CORP.
Location Address1809 CENTRAL AVE STE CCeres, CA 95307-1806
Mailing Address3512 Hillglen AveModesto, CA 95355-7867 · (209) 985-4813 · Fax (209) 551-3255
Fax(209) 551-3255
Organization SubpartNo
Authorized OfficialEleuterio Arcangel GoPresident · (209) 537-4434
Enumeration DateAugust 27, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1841483427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A68296
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.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License A68296 (CA)
1809 CENTRAL AVE STE C, Ceres, CA 95307

Other Identifiers 5

Other00A682962CA · Medicare Ppin
Medicare UPING65869CA
Medicare PIN048129CA
OtherZZZ01404ZCA · Medicare Group Id
Medicaid6213236CA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eag Professional Medical Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Eag Professional Medical Corp., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1669137402
4224 COPPER CREEK DR
Modesto, CA 95355
(209) 985-4803
✔ PECOS4.5 mi
Psychiatry
NPI 1447219662
809 SYLVAN AVE STE. 500A
Modesto, CA 95350
(209) 521-5150
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1992287437
301 EAST 13TH STREET
Merced, CA 95341
(209) 381-6800
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1922507037
4441 E KINGS CANYON RD
Fresno, CA 93702
(559) 840-7628
✔ PECOS✔ Accepts Medicare89 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 Eag Professional Medical Corp.'s NPI number?

The NPI number for Eag Professional Medical Corp. is 1841483427. It was assigned to this organization in the NPPES registry on August 27, 2007.

Where is Eag Professional Medical Corp. located?

Eag Professional Medical Corp. is located at 1809 Central Ave Ste C, Ceres, CA 95307. The listed phone number is (209) 537-4434.

What is Eag Professional Medical Corp.'s specialty?

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

Is Eag Professional Medical Corp. enrolled in Medicare?

Yes. Eag Professional Medical Corp. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eag Professional Medical Corp.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Eag Professional Medical Corp.. 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. The largest specialties are Nurse Practitioner (3) and Psychiatry (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eag Professional Medical Corp. was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.