PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA PC (NPI# 1578512711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578512711 |
| Entity Type | Organization |
| Organization Name | PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA PC |
| Practice Address |
1401 Bailey Ave Needles CA 92363-3103 |
| Mailing Address |
Po Box 7388 Philadelphia PA 19101-7388 |
| Practice Telephone | 7603267194 |
| Mailing Telephone | 8055633011 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | CHARLES T MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 8055633011 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1578512711 | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ65417Z | 01 |
| CA | GR0094164 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174572945 | Premier Emergency Physicians of California PC | Emergency Medicine | 240 Spruce St, Gridley, CA 95948-2216 | 2006-05-09 |
| 1831148071 | Premier Emergency Physicians of California PC | Emergency Medicine | 1300 N Vermont Ave, Hollywood, CA 90027-6005 | 2006-05-06 |
| Street Address |
1401 BAILEY AVE |
| City | NEEDLES |
| State | CA |
| Zip Code | 92363-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780666560 | William R Kelley Jr. | Radiology | 1401 Bailey Ave, Dept of Radiology, Needles, CA 92363-3103 | 2005-11-16 |
| 1033587308 | Tristate Ambulatory Surgery Center | Clinic/Center | 1401 Bailey Ave, Building A, Needles, CA 92363-3103 | 2015-09-03 |
| 1063819019 | Community Healthcare Partner, Inc. | Skilled Nursing Facility | 1401 Bailey Ave, Needles, CA 92363-3103 | 2014-11-19 |
| 1922415538 | Community Healthcare Partner, Inc. | Registered Nurse | 1401 Bailey Ave, Building A, Needles, CA 92363-3103 | 2014-07-15 |
| 1073752861 | Gilbert Almaraz Md Inc | Anesthesiology | 1401 Bailey Ave, Needles, CA 92363-3103 | 2009-02-18 |
| 1588714190 | Principal-needles Inc | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2007-01-12 |
| 1568533388 | River View Emergency Physicians | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-11-13 |
| 1942383393 | Wantzy Cooper | Emergency Medicine | 1401 Bailey Ave, Bldg 1, Needles, CA 92363-3103 | 2006-10-21 |
| 1043305840 | Principal-needles Inc | General Acute Care Hospital | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-10-04 |
| 1104894336 | Brad Clayton Barth | Anesthesiology | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396022026 | Dhhs Ihs Phoenix Area | Clinic/Center | 1900 Palo Verde, Havasu Lake, CA 92363 | 2011-11-09 |
| 1457520942 | Community Healthcare Partner, Inc | Emergency Medicine | 1401 Bailey Avenue, Needles, CA 92363 | 2008-02-28 |
| 1457478075 | Lake Havasu Fire District | Ambulance | 148808 Havasu Lake Rd, Lake Havasu, CA 92363 | 2007-03-26 |
| 1871070672 | David Rubio | Counselor | 1600 Bailey Ave Ste 2, Needles, CA 92363 | 2018-07-24 |
| 1205035862 | Donald Anderson | Counselor | 640 California Ave, Needles, CA 92363-2115 | 2007-07-13 |
| 1578642815 | Jerry Neil South | Chiropractor | 1400 Needles Hwy, Ste. 105, Needles, CA 92363-2364 | 2006-11-06 |
| 1437145299 | Willow Valley Pharmacy, Inc., Dba | Pharmacy | 1101 W Broadway St, Needles, CA 92363-2704 | 2005-09-26 |
| 1417426578 | Needles Hospice, Inc. | Hospice Care, Community Based | 813 W Broadway St Unit B, Needles, CA 92363-2727 | 2018-11-19 |
| 1598397960 | Billet Adhc Inc Needles | Clinic/Center | 901 Front St, Needles, CA 92363-2739 | 2020-02-04 |
| 1821126889 | Mental Health Systems, Inc. | Community/Behavioral Health | 300 H St, Needles, CA 92363-2928 | 2007-03-01 |
| Find all providers in zip 92363 | ||||
| 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 |
|---|---|---|---|---|
| 1104294479 | Community Healthcare Partner, Inc. | Emergency Medicine | 1401 Bailey Avenue, Building A, Needles, CA 92363-3103 | 2015-09-03 |
| 1588714190 | Principal-needles Inc | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2007-01-12 |
| 1568533388 | River View Emergency Physicians | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-11-13 |
| 1942383393 | Wantzy Cooper | Emergency Medicine | 1401 Bailey Ave, Bldg 1, Needles, CA 92363-3103 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134108 | Robert Rene Gosselin | Emergency Medicine | 14017 Banner Mtn Lookout Rd, Nevada City, CA 95959-9657 | 2020-11-06 |
| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1356959266 | Rgx Medical | Emergency Medicine | 1050 E Cypress Ave, Burbank, CA 91501-1310 | 2020-07-16 |
| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
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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.