CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP. (NPI# 1205212032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205212032 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP. |
| Other Organization Name | VITUITY |
| Practice Address |
22 S Athol Ave Baltimore MD 21229-3405 |
| Mailing Address |
1601 Cummins Dr Ste D Modesto CA 95358-6411 |
| Practice Telephone | 4109473052 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | DAVID BIRDSALL (PRESIDENT) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vituity | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881059657 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 179 Fairview Ln, Sonora, CA 95370-4809 | 2015-12-22 |
| 1457833295 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2018-08-29 |
| 1952776353 | California Emergency Physicians Medical Group, A Professional Corp. | Assisted Living Facility | 2100 Powell St, Ste 900, Emeryville, CA 94608-1826 | 2015-12-10 |
| 1306210554 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 9106 Pine View Ln, Clinton, MD 20735-3229 | 2015-11-25 |
| 1851765770 | California Emergency Physicians Medical Group, A Professional Corp. | Assisted Living Facility | 1325 Las Villas Way, Escondido, CA 92026-1946 | 2015-11-16 |
| 1982076055 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2015-10-28 |
| 1770950230 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 760 E Bobier Dr, Vista, CA 92084-3806 | 2015-08-31 |
| 1871960427 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 1325 Las Villas Way, Escondido, CA 92026-1946 | 2015-08-31 |
| 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 |
22 S ATHOL AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638908 | Future Care-irvington, LLC | Skilled Nursing Facility | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2005-06-10 |
| 1215540323 | Kelly Mcgrath | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2020-08-28 | |
| 1477917383 | Future Care-irvington, LLC | Skilled Nursing Facility | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2016-04-06 |
| 1780095000 | Chukwudozie Mochaa-uchefuna | Nurse Practitioner | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2014-05-09 |
| 1699828517 | Julia Fon-kats | Nurse Practitioner | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2007-01-22 |
| 1881657203 | Dca of West Baltimore LLC | Clinic/Center | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| 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 |
|---|---|---|---|---|
| 1184272296 | Federal Hill Pediatric Center | Internal Medicine | 724 Light St Ste A, Baltimore, MD 21230-3813 | 2019-09-02 |
| 1861051096 | Intermed Associates Ipa, LLC | Internal Medicine | 9106 Philadelphia Rd Ste 214, Baltimore, MD 21237-4333 | 2019-06-11 |
| 1720540925 | Johns Hopkins Community Physicians | Internal Medicine | 5210 Eastern Ave Ste 127, Baltimore, MD 21224-2719 | 2019-04-05 |
| 1013488188 | Atlantic Medical Associates, LLC | Internal Medicine | 6717 Park Heights Ave Lowr Level, Baltimore, MD 21215-2443 | 2018-12-16 |
| 1700386109 | Burke Medical, P.C. | Internal Medicine | 8 Market Pl Ste 300, Baltimore, MD 21202-4113 | 2018-02-13 |
| 1538695598 | Hisham Ahmed Farhan | Internal Medicine | 827 Linden Ave # B-2043, Baltimore, MD 21201-4606 | 2017-05-11 |
| 1538692652 | Thi Khuc | Internal Medicine | 22 S Greene St # N3w156, Baltimore, MD 21201-1544 | 2017-04-05 |
| 1053868646 | Apurva Sharma | Internal Medicine | 600 N Wolfe St Blalock 545, Baltimore, MD 21287-1766 | 2016-09-01 |
| 1053761031 | Seyed Mohammad Hodanazari | Internal Medicine | 727 W 40th St # A215, Baltimore, MD 21211-2105 | 2016-06-21 |
| 1568824522 | Alaina Christine Chodoff | Internal Medicine | 2024 E Monument St Fl 2, Baltimore, MD 21287-0028 | 2016-03-28 |
| Find all providers in BALTIMORE | ||||
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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.