EMMANUEL R MOFU (NPI# 1598895955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598895955 |
| Entity Type | Individual |
| Full Name | EMMANUEL R MOFU |
| Credential | MD |
| Practice Address |
495 North Main Street Blythe CA 92225 |
| Mailing Address |
Po Box 1250 Blythe CA 92226-1250 |
| Practice Telephone | 7609223141 |
| Mailing Telephone | 7609223141 |
| Mailing Fax Number | 7609229846 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C36558 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | C36558 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
495 NORTH MAIN STREET |
| City | BLYTHE |
| State | CA |
| Zip Code | 92225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932541679 | M & M Medical Clinic Inc. | Family Medicine | 495 North Main Street, Blythe, CA 92225 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1467943811 | County of Riverside | Community/Behavioral Health | 249 N Spring St, Blythe, CA 92225 | 2018-05-22 |
| 1760890982 | Keith Hoyt Wells I | Pharmacist | 616 E. Hobson Way, Blythe, CA 92225 | 2014-07-31 |
| 1447673967 | Silvia Herrera | Nurse Practitioner | 332 W Hobson Way, Blythe, CA 92225 | 2014-02-04 |
| 1821262767 | Marvin Paul Vernon | Social Worker | 246 N Hobson Way, Blythe, CA 92225 | 2008-04-22 |
| 1083882492 | Blythe Eye Care Medical Group | Optometrist | 600 E Hobson Way, Blythe, CA 92225 | 2008-02-19 |
| 1215159553 | Douglas John Meyer | Physical Therapist | 205 N. First Street, Suite E, Blythe, CA 92225 | 2007-05-03 |
| 1154408961 | Sheereen Ahranjani | Social Worker | 1297 W. Hobsonway, Blythe, CA 92225 | 2006-11-01 |
| 1326123399 | Salud | Family Medicine | 176 S Palm Drive, Blythe, CA 92225 | 2006-10-26 |
| 1811097652 | J & R Unity Inc | Durable Medical Equipment & Medical Supplies | 301 W Hobsonway, Blythe, CA 92225 | 2006-09-22 |
| Find all providers in zip 92225 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023394285 | Desert View Medical | Family Medicine | 205 N 1st St Ste A, Blythe, CA 92225-1777 | 2011-11-01 |
| 1568642221 | David Brooks | Family Medicine | 176 S Palm Dr, Blythe, CA 92225-2536 | 2007-11-10 |
| 1760550701 | Date Palm Inc. | Family Medicine | 604 E Hobsonway, Blythe, CA 92225-1739 | 2006-11-30 |
| 1326123399 | Salud | Family Medicine | 176 S Palm Drive, Blythe, CA 92225 | 2006-10-26 |
| 1912098872 | Leonel L Rodriguez | Family Medicine | 205 N 1st St Ste C, Blythe, CA 92225-1777 | 2006-09-27 |
| 1578580403 | Leon Peter Y. Chua, M.d. | Family Medicine | 500 N Broadway, Ste 17, Blythe, CA 92225-1279 | 2006-07-16 |
| 1932541679 | M & M Medical Clinic Inc. | Family Medicine | 495 North Main Street, Blythe, CA 92225 | 2013-07-23 |
| 1033346994 | Leonel L Rodriguez Md A Medical Corporation | Family Medicine | 205 N 1st St Ste C, Blythe, CA 92225-1777 | 2009-06-18 |
| 1417079989 | Kenneth Grant Lucero | Family Medicine | 205 N 1st St, Suite A, Blythe, CA 92225-1777 | 2007-04-04 |
| 1689776775 | Leon Peter Y Chua | Family Medicine | 500 N Broadway, Suite 17, Blythe, CA 92225-1279 | 2006-09-01 |
| Find all providers in BLYTHE | ||||
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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.