Physician Compare National (NPI:1013974112)

HEALTHCARE PROVIDER: ERNESTO ARCADIO MCCOMBS D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013974112
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012048887
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100623000862
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCCOMBS
	Individual professional last name
Provider First Name	ERNESTO
	Individual professional first name
Provider Middle Name	ARCADIO
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	501 S RANCHO DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C15
	Group Practice or individual's line 2 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891064831
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290021
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VALLEY HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y