CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORAT (NPI# 1235586157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235586157 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORAT |
| Practice Address |
15720 Bernardo Center Dr San Diego CA 92127-5861 |
| Mailing Address |
2100 Powell St Suite 900 Emeryville CA 94608-1826 |
| Practice Telephone | 8586723900 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-11-16 |
| 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 |
|---|---|---|---|---|
| 1114375060 | California Emergency Physicians Medical Group, A Professional Corporat | Internal Medicine | 1025 W 2nd Ave, Escondido, CA 92025-3839 | 2016-06-01 |
| 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 |
| 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 |
15720 BERNARDO CENTER DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183869 | Roarke Smith | Physical Therapy Assistant | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2014-12-29 |
| 1487135687 | Grace Knighton | Speech-Language Pathologist | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2018-08-24 |
| 1720569254 | Karen Marie Ellerbrock | Occupational Therapist | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2018-08-23 |
| 1144700865 | Bi Huynh Idica | Occupational Therapist | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2018-08-21 |
| 1245622109 | Heather Koch | Speech-Language Pathologist | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2015-03-02 |
| 1710376975 | Josephine Adams | Occupational Therapist | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2015-01-12 |
| 1750779203 | Rebecca Newhouse | Speech-Language Pathologist | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2015-01-07 |
| 1952799504 | Christopher Lafaver | Physical Therapy Assistant | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2015-01-06 |
| 1376931881 | James Nozaki | Physical Therapist | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2015-01-06 |
| 1982092516 | Jennifer Ong | Occupational Therapy Assistant | 15720 Bernardo Center Dr, San Diego, CA 92127-5861 | 2015-01-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| 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 |
|---|---|---|---|---|
| 1184233645 | Svr Medical PC | Internal Medicine | 4440 Euclid Ave Ste E, San Diego, CA 92115-4522 | 2020-07-30 |
| 1023639176 | Arthur Wong | Internal Medicine | 4222 Kansas St Unit 2, San Diego, CA 92104-1802 | 2020-04-29 |
| 1679102461 | Santosh Vetticaden | Internal Medicine | 6420 Mesa Norte Dr, San Diego, CA 92130-6852 | 2020-04-03 |
| 1225664964 | Andres Smith M.d. A Professional Medical Corporation | Internal Medicine | 6244 El Cajon Blvd Ste 29, San Diego, CA 92115-3918 | 2020-03-13 |
| 1154972388 | Kimberly Hall Fernandez | Internal Medicine | 700 W E St Unit 2101, San Diego, CA 92101-5993 | 2019-09-29 |
| 1992289300 | Sd Healthcare Solutions | Internal Medicine | 5943 Thorn St, San Diego, CA 92105-3916 | 2018-09-21 |
| 1992295331 | Alera Inc | Internal Medicine | 2667 Camino Del Rio S Ste 307-6, San Diego, CA 92108 | 2018-05-11 |
| 1275020844 | Lf Capital Inc | Internal Medicine | 438 Camino Del Rio S Ste 203, San Diego, CA 92108-3546 | 2018-04-18 |
| 1710401302 | Ca Post Acute Specialists PC | Internal Medicine | 3525 Del Mar Heights Rd # 966, San Diego, CA 92130-2199 | 2017-07-26 |
| 1063933604 | John Jackson Howard | Internal Medicine | 4616 Patricia Pl, San Diego, CA 92115-1934 | 2017-07-05 |
| Find all providers in SAN DIEGO | ||||
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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.