SIERRA ER DEPARTMENT PHYSICIANS MEDICAL GROUP INC. (NPI# 1033570247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033570247 |
| Entity Type | Organization |
| Organization Name | SIERRA ER DEPARTMENT PHYSICIANS MEDICAL GROUP INC. |
| Practice Address |
1800 Spring Ridge Dr Susanville CA 96130-6100 |
| Mailing Address |
5000 Hopyard Rd Suite 100 Pleasanton CA 94588-3348 |
| Practice Telephone | 5302575325 |
| Mailing Telephone | 9259241600 |
| Mailing Fax Number | 9259240506 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | KRISTOPHER M SMITH (CFO) |
| Authorized Official Telephone | 9259241600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1800 SPRING RIDGE DR |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891768271 | Kirk E Lott | Nurse Anesthetist, Certified Registered | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2006-02-08 |
| 1629421797 | Riaz Medical Group Inc | Family Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2016-07-13 |
| 1780044735 | Matthew S Mccarty Md Inc | General Acute Care Hospital | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2016-03-03 |
| 1043675739 | Mercy Air Service, Inc. | Ambulance | 1800 Spring Ridge Dr, Susanville, CA 96130 | 2015-12-22 |
| 1720463961 | Banner Lassen Medical Center | Clinic/Center | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2015-07-29 |
| 1750788865 | Northstar Radiology - California | Radiology | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2014-12-04 |
| 1043562002 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-10-15 |
| 1346599305 | Darlene Amy Dougherty | Dietitian, Registered | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-09-06 |
| 1124386719 | Rooptown Emergency Physicians, A Medical Corporation | Emergency Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-05-02 |
| 1881950541 | Banner Health Physicians West LLC | Clinic/Center | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124386719 | Rooptown Emergency Physicians, A Medical Corporation | Emergency Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-05-02 |
| 1386917540 | Premier Emergency Physicians of California Medical Group, PC | Emergency Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-02-20 |
| 1841371382 | Ian Campbell Cree | Emergency Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2006-10-18 |
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|---|---|---|---|---|
| 1275134108 | Robert Rene Gosselin | Emergency Medicine | 14017 Banner Mtn Lookout Rd, Nevada City, CA 95959-9657 | 2020-11-06 |
| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1356959266 | Rgx Medical | Emergency Medicine | 1050 E Cypress Ave, Burbank, CA 91501-1310 | 2020-07-16 |
| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.