PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA, A MEDICAL CORPORATION (NPI# 1578747606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578747606 |
| Entity Type | Organization |
| Organization Name | PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA, A MEDICAL CORPORATION |
| Practice Address |
3350 W Ball Rd Anaheim CA 92804-3710 |
| Mailing Address |
13737 Noel Rd 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | DR. CHARLES T MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | M.D. |
| 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 | 1578747606 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922058221 | Premier Emergency Physicians of California, A Medical Corporation | Emergency Medicine | 250 N 1st St, Emergency Department, Blythe, CA 92225-1702 | 2006-05-10 |
| Street Address |
3350 W BALL RD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742284 | Jacqueline Stark | Specialist | 3350 W Ball Rd, Anesthesia Department, Anaheim, CA 92804-3710 | 2005-07-07 |
| 1922370303 | Shankar Sundaram M.d., Inc. | Anesthesiology | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2012-02-01 |
| 1033440987 | Blue Wave Anesthesia Group, Inc. | Anesthesiology | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2010-01-15 |
| 1235469685 | Oc Path Medical Group | Pathology | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2010-01-07 |
| 1891933404 | Ali A Ali Md Inc | Pathology | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2009-02-04 |
| 1598948382 | Twila Reid Emergency Physicians | Emergency Medicine | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2007-12-14 |
| 1285727057 | Anaheim General Hospital Ltd | Psychiatric Unit | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2006-10-02 |
| 1316956691 | Hiba Hussain | Anesthesiology | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2006-08-05 |
| 1114941812 | Ralph E Conner IIi | Emergency Medicine | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2006-07-26 |
| 1558383935 | Mohammad Rajper | Emergency Medicine | 3350 W Ball Rd, Anaheim, CA 92804-3710 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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 |
|---|---|---|---|---|
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1861435380 | Michael D Phillips | Emergency Medicine | 1174 N Euclid St, Anaheim, CA 92801-1900 | 2006-06-13 |
| 1215993399 | George Baskevitch | Emergency Medicine | 3033 West Orange Avenue, Anaheim, CA 92804 | 2006-04-26 |
| 1497288823 | Kevin Chen | Emergency Medicine | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2017-04-04 |
| 1932640935 | Southland Emergency Medical Associates Inc | Emergency Medicine | 1111 W La Palma Ave, Emergency Dept, Anaheim, CA 92801-2804 | 2017-03-10 |
| 1982078150 | Cep America - California | Emergency Medicine | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2015-11-25 |
| 1508202144 | Tasha Judith Fernando | Emergency Medicine | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2013-05-21 |
| 1407291354 | Allen Chiou | Emergency Medicine | 1736 W Medical Center Dr, Suite B, Anaheim, CA 92801-1854 | 2013-05-06 |
| 1104189414 | Charles Lu | Emergency Medicine | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-06-21 |
| 1528320231 | Sean P Wilson | Emergency Medicine | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-06-10 |
| Find all providers in ANAHEIM | ||||
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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.