CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORAT (NPI# 1114375060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114375060 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORAT |
| Practice Address |
1025 W 2nd Ave Escondido CA 92025-3839 |
| Mailing Address |
1601 Cummins Dr Ste D Modesto CA 95358-6411 |
| Practice Telephone | 7607451842 |
| Mailing Telephone | 5103502680 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | THEOPHILE KOURY (PRESIDENT) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902254758 | California Emergency Physicians Medical Group, A Professional Corporat | Skilled Nursing Facility | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2016-06-01 |
| 1841648201 | California Emergency Physicians Medical Group, A Professional Corporat | Internal Medicine | 247 E Bobier Dr, Vista, CA 92084-3026 | 2016-05-26 |
| 1669829578 | California Emergency Physicians Medical Group, A Professional Corporat | Internal Medicine | 1586 W San Marcos Blvd, San Marcos, CA 92078-4019 | 2016-05-20 |
| 1235586157 | California Emergency Physicians Medical Group, A Professional Corporat | Internal Medicine | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2016-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORATION | 2100 Powell St Ste 400, Emeryville, CA 94608-1826 |
| Oregon Corporations, Companies and Business Names | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORATION | 2100 Powell St Ste 400, Emeryville, CA 94608 |
| Street Address |
1025 W 2ND AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639692585 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 930 Monticello Dr, Escondido, CA 92029-4432 | 2017-07-24 |
| 1346590411 | Carl R Tassistro | Internal Medicine | 29525 Circle R Greens Dr, Escondido, CA 92026-5913 | 2012-09-14 |
| 1396002895 | Peter A Orner | Internal Medicine | 11628 Alps Way, Escondido, CA 92026-7011 | 2012-04-20 |
| 1699784934 | Alan T. Chang | Internal Medicine | 332 S Juniper St, Suite 100, Escondido, CA 92025-4940 | 2006-08-05 |
| 1043236292 | Karin C. Kordas | Internal Medicine | 215 S Hickory St Ste 118, Escondido, CA 92025-4304 | 2006-07-14 |
| 1215963905 | Rachel Bacon | Internal Medicine | 641 E Pennsylvania Ave Ste 102, Escondido, CA 92025-3047 | 2006-06-24 |
| 1033197082 | Tariq M Dastagir | Internal Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2006-01-09 |
| 1205817673 | Dean C Tasher | Internal Medicine | 1035 E Grand Ave, Escondido, CA 92025-4601 | 2005-11-10 |
| 1265922827 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 1980 Felicita Rd, Escondido, CA 92025-5922 | 2018-05-18 |
| 1871015859 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2017-07-12 |
| Find all providers in ESCONDIDO | ||||
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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.