Ethan Jeremy Breen, D.O
NPI 1922357003ActiveIndividual· Family Medicine· Pismo Beach, CA
Family Medicine (D.O) in Pismo Beach, California, licensed in CA and NY, with an NPI issued in September 2012.
Overview
| NPI | 1922357003 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O |
| Sole proprietor | Yes |
| NPI issued | Sep 5, 2012 |
| Last updated in NPPES | Feb 3, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 20A13057 | CA |
| Family Medicine | 207Q00000X | 266939 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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