SOUTHERN CALIFORNIA EMERGENCY MEDICAL GROUP (NPI# 1518588433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518588433 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA EMERGENCY MEDICAL GROUP |
| Practice Address |
1300 W 7th St San Pedro CA 90732-3505 |
| Mailing Address |
6756 Birchman Dr Rancho Palos Verdes CA 90275-3174 |
| Practice Telephone | 3105145350 |
| Mailing Telephone | 3105411231 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | DR. SAMEER D MISTRY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3105291805 |
| 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 |
| Street Address |
1300 W 7TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356323828 | Jason C Kantor | Radiology | 1300 W 7th St, San Pedro, CA 90732-3505 | 2005-11-18 |
| 1598366486 | Nina Sabet-peyman, Md Inc. | Hospice, Inpatient | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-11-05 |
| 1154922185 | Melissa Louise Zankich-patalan | Nurse Practitioner | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-11-05 |
| 1063011104 | Christina Margarita Villasenor | Occupational Therapist | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-10-20 |
| 1073125480 | Peguy-emmanuelle Alva | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-08-18 |
| 1033748744 | Jenna Nicole East | Speech-Language Pathologist | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-04-04 |
| 1023654555 | Susan Marie Smith | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-11-19 |
| 1477196269 | Vilma Asuma | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-10-24 |
| 1932742905 | Professional Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-10-23 |
| 1225683345 | Clarita Cayaban Macellven | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| 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 |
|---|---|---|---|---|
| 1932185220 | Thomas Lee Bostwick | Emergency Medicine | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2005-12-19 |
| 1194107169 | Matthew Aaron Guess | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2015-06-25 |
| 1144252446 | Usha Rani K. Reddy | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1497787774 | Douglas Walter Mcfarland | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1174555460 | Ronnie Lee Melendez | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1861424152 | Sameer Dhiru Mistry | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1790717023 | Stephen Robert Shea | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1982636262 | John Susumu Mccall | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1740212109 | Karen Sue Hoyt | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-07 |
| 1710919345 | Marco Antonio Diaz | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-06 |
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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.