ER PHYSICIANS MEDICAL GROUP, INC. (NPI# 1063765907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063765907 |
| Entity Type | Organization |
| Organization Name | ER PHYSICIANS MEDICAL GROUP, INC. |
| Practice Address |
4081 E Olympic Blvd Emergency Dept Los Angeles CA 90023-3330 |
| Mailing Address |
24955 Pacific Coast Hwy Suite C202 Malibu CA 90265-4700 |
| Practice Telephone | 3232670477 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | DR. PHILIP J FAGAN JR. (PRESIDENT) |
| Authorized Official Telephone | 8185570135 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4081 E OLYMPIC BLVD EMERGENCY DEPT |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90023-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001809 | Alta Los Angeles Hospitals, Inc. | Psychiatric Unit | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2005-05-24 |
| 1306365903 | Jennifer Sik | Occupational Therapist | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2017-09-14 |
| 1831617349 | Lynda Truc Nguyen | Nurse Practitioner | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2017-09-05 |
| 1417409269 | Memorial Pathology Medical Group, Inc. | Pathology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2016-10-27 |
| 1275907842 | Stephanie C. Cha, M.d. Inc. | Anesthesiology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2015-11-19 |
| 1982048039 | Patrick L Mullens M D Inc | Pathology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2013-04-19 |
| 1962752675 | Friedrich Roessler, M.d., Inc. | Anesthesiology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2012-09-11 |
| 1306026562 | Shaival M Patel | Anesthesiology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2007-11-05 |
| 1114132685 | Alta Los Angeles Hospital, Inc | Skilled Nursing Facility | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2007-05-10 |
| 1144381674 | Thomas Evans Mitchell Jr. | Anesthesiology | 4081 E Olympic Blvd, Los Angeles, CA 90023-3330 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
| 1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
| 1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
| 1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
| 1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
| 1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
| Find all providers in zip 90023 | ||||
| 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 |
|---|---|---|---|---|
| 1558717983 | James Marvel | Emergency Medicine | 1520 Rodney Dr Apt 411, Los Angeles, CA 90027-5327 | 2016-05-04 |
| 1871956359 | Gregory Elbert Tong | Emergency Medicine | 942 Westwood Boulevard, Suite 300, Los Angeles, CA 90024 | 2016-04-01 |
| 1073979704 | Erik Akopian | Emergency Medicine | 1200 N State St Ste Ct-a7d, Los Angeles, CA 90033-1029 | 2016-01-11 |
| 1043685969 | Abraham Flinders | Emergency Medicine | 1021 N Bonnie Brae St, Los Angeles, CA 90026-3110 | 2015-12-03 |
| 1164892501 | Benjamin Musser | Emergency Medicine | 1957 Preston Ave, Los Angeles, CA 90026-1827 | 2015-09-28 |
| 1295138022 | Brian Raffetto | Emergency Medicine | 1200 N State St Rm A7d, Los Angeles, CA 90033-1029 | 2014-10-07 |
| 1427450691 | Ariel Justine Bowman | Emergency Medicine | 1200 N. State Street, Ct-room A7d, Los Angeles, CA 90033 | 2014-09-19 |
| 1093150476 | Sushil Jain | Emergency Medicine | 6041 Cadillac Ave Dept Of, Los Angeles, CA 90034-1702 | 2013-04-30 |
| 1497198402 | Russell Andrew Johnson | Emergency Medicine | 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | 2013-04-09 |
| 1114260858 | Catherine Marie Weaver | Emergency Medicine | 757 Westwood Plz Ste 1517, Los Angeles, CA 90095-8358 | 2013-04-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90023 |
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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.