CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP (NPI# 1639727654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639727654 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP |
| Practice Address |
16412 Los Gatos Blvd Los Gatos CA 95032-5525 |
| Mailing Address |
2100 Powell St Ste 400 Emeryville CA 94608-1826 |
| Practice Telephone | 4083578840 |
| Mailing Telephone | 5103502638 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | DAVID BIRDSALL (C.O.O) |
| Authorized Official Telephone | 5103502600 |
| 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 |
|---|---|---|---|---|
| 1639692585 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 930 Monticello Dr, Escondido, CA 92029-4432 | 2017-07-24 |
| 1326577206 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 15891 Los Gatos Almaden Rd, Los Gatos, CA 95032-3742 | 2017-06-05 |
| 1174074793 | California Emergency Physicians Medical Group, A Professional Corp | Skilled Nursing Facility | 710 W 13th Ave, Escondido, CA 92025-5511 | 2016-10-19 |
| 1215365218 | California Emergency Physicians Medical Group, A Professional Corp | Emergency Medicine | 2104 N. Village Drive, Suite L, Truckee, CA 96161 | 2013-10-29 |
| 1740838119 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 8170 Murray Ave, Gilroy, CA 95020-4605 | 2019-08-29 |
| 1568010940 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 370 Noble Ct, Morgan Hill, CA 95037-4134 | 2019-08-29 |
| 1689236374 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2019-07-02 |
| 1740846930 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 525 W Umpqua St, Roseburg, OR 97471-2952 | 2019-05-14 |
| 1871015859 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2017-07-12 |
| 1336678143 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2017-06-06 |
| 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 |
16412 LOS GATOS BLVD |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285670851 | Golden Oak Holdings, LLC | Skilled Nursing Facility | 16412 Los Gatos Blvd, Los Gatos, CA 95032-5525 | 2006-06-21 |
| 1558671933 | Jaclyn Kingman | Counselor | 16412 Los Gatos Blvd, Los Gatos, CA 95032-5525 | 2010-10-19 |
| 1942527601 | Ravid Avraham | Physical Medicine & Rehabilitation | 16412 Los Gatos Blvd, Los Gatos, CA 95032 | 2010-04-21 |
| 1396764858 | Stephanie Monroe | Physical Therapist | 16412 Los Gatos Blvd, Los Gatos, CA 95032-5525 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| 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 |
|---|---|---|---|---|
| 1871004523 | Jane W Chien Md Inc | Internal Medicine | 14981 National Ave Ste 6, Los Gatos, CA 95032-2600 | 2017-10-21 |
| 1326577206 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 15891 Los Gatos Almaden Rd, Los Gatos, CA 95032-3742 | 2017-06-05 |
| 1023469384 | Sindhu Novel Gundapuneni | Internal Medicine | 16122 Loretta Ln, Los Gatos, CA 95032-2035 | 2016-06-28 |
| 1265706865 | Amy Freilich Ball | Internal Medicine | 135 Vista Del Monte, Los Gatos, CA 95030-6335 | 2012-02-28 |
| 1851671838 | Edward Laurence Cahn | Internal Medicine | 158 Clover Way, Los Gatos, CA 95032-5620 | 2011-08-23 |
| 1477757375 | Rachel M.h. Roberts | Internal Medicine | 14251 Winchester Blvd Ste 200, Los Gatos, CA 95032-1811 | 2007-06-13 |
| 1164500062 | Ann M. Haiden | Internal Medicine | 700 W Parr Ave Ste B, Los Gatos, CA 95032-1416 | 2006-11-01 |
| 1093824963 | Frank Gilbert Gregory Jr. | Internal Medicine | 340 Dardanelli Lane, Ste 13, Los Gatos, CA 95032-1418 | 2006-08-30 |
| 1578671905 | Forouzan Vaghar | Internal Medicine | 248 Los Gatos Saratoga Rd, Los Gatos, CA 95030-5317 | 2006-08-27 |
| 1265466874 | Leena Badhwar | Internal Medicine | 240 Oak Meadow Dr, Los Gatos, CA 95032-4452 | 2006-07-10 |
| Find all providers in LOS GATOS | ||||
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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.