CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP (NPI# 1215365218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215365218 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP |
| Other Organization Name | VITUITY |
| Practice Address |
2104 N. Village Drive Suite L Truckee CA 96161 |
| Mailing Address |
1601 Cummins Dr Ste D Modesto CA 95358-6411 |
| Practice Telephone | 5305818864 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | THEOPHILE KOURY (CFO) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vituity | Doing Business As Name - Organization |
| 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 |
| 1326577206 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 15891 Los Gatos Almaden Rd, Los Gatos, CA 95032-3742 | 2017-06-05 |
| 1174074793 | California Emergency Physicians Medical Group, A Professional Corp | Skilled Nursing Facility | 710 W 13th Ave, Escondido, CA 92025-5511 | 2016-10-19 |
| 1639727654 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 16412 Los Gatos Blvd, Los Gatos, CA 95032-5525 | 2019-09-03 |
| 1740838119 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 8170 Murray Ave, Gilroy, CA 95020-4605 | 2019-08-29 |
| 1568010940 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 370 Noble Ct, Morgan Hill, CA 95037-4134 | 2019-08-29 |
| 1689236374 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2019-07-02 |
| 1740846930 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 525 W Umpqua St, Roseburg, OR 97471-2952 | 2019-05-14 |
| 1871015859 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2017-07-12 |
| 1336678143 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2017-06-06 |
| 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 |
2104 N. VILLAGE DRIVE SUITE L |
| City | TRUCKEE |
| State | CA |
| Zip Code | 96161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558716175 | Elevation Chiropractic Dr Michael Colpitts Dc Inc | Chiropractor | 11425 Donner Pass Road, Suite 12a, Truckee, CA 96161 | 2016-05-02 |
| 1336433838 | Richard Walter Lutz | General Practice | 6123 Rocky Point Circle, Truckee, CA 96161 | 2011-06-02 |
| 1528395779 | Sharon Mayo | Doula | 11335 Alder Drive, Truckee, CA 96161 | 2009-11-09 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1538392972 | Peggie J Wiseman | Social Worker | 10356 Donner Pass Rd., Turckee, CA 96161 | 2009-09-02 |
| 1033382031 | Polly M Ryan | Marriage & Family Therapist | 10956 Denner Pass Rd, Ste 360, Truckee, CA 96161 | 2008-04-10 |
| 1275721920 | Zoe K Cahill | Massage Therapist | 10116 Jibboom St, Truckee, CA 96161 | 2007-10-09 |
| 1285828335 | Cathy Joan Taylor | Chiropractor | 12068-b Donner Pass Road, Truckee, CA 96161 | 2007-08-31 |
| 1952439887 | Tyson Sumner Lechner | Dentist | 11075 Donner Pass Rd, Truckee, CA 96161 | 2007-03-01 |
| 1194861187 | Tracy Lynn Rudnicki | Acupuncturist | 12098 Sierra Dr. East, Truckee, CA 96161 | 2007-01-29 |
| Find all providers in zip 96161 | ||||
| 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 |
|---|---|---|---|---|
| 1255703740 | Hippomd Inc. | Emergency Medicine | 11025 Pioneer Trl, Truckee, CA 96161-0281 | 2015-10-23 |
| 1326365651 | John Dietrich Anderson | Emergency Medicine | 2104 N Village Dr Ste L, Truckee, CA 96161-4312 | 2010-04-26 |
| 1336492446 | Cep America - California | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2012-10-26 |
| 1194914929 | Casey Thomas Jowers | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2007-10-17 |
| 1225236433 | Adrian L Delatorre | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96160 | 2007-07-10 |
| 1558572099 | Jacquelyn H Salas | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161 | 2007-05-25 |
| 1639257728 | Christopher K. Skaff | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2006-11-02 |
| 1548277692 | Michael Bruce Macquarrie | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96160 | 2006-08-02 |
| 1356373617 | Eddie Sperling Mozen | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96160 | 2006-07-07 |
| 1427085364 | Syndi Keats | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2006-06-27 |
| Find all providers in TRUCKEE | ||||
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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.