CALIFORNIA EMERGENCY PHYSICIANS (NPI# 1750302600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750302600 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EMERGENCY PHYSICIANS |
| Practice Address |
1580 Winchester Blvd Suite 202 Campbell CA 95008-0519 |
| Mailing Address |
1601 Cummins Dr Ste D Modesto CA 95358-6411 |
| Practice Telephone | 4083647600 |
| Mailing Telephone | 5108517423 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | THEOPHILE KOURY (COO) |
| Authorized Official Telephone | 5103502389 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285747402 | California Emergency Physicians | Family Medicine | 22855 Lake Forest Dr, # A, Lake Forest, CA 92630-1656 | 2006-08-15 |
| 1922020940 | California Emergency Physicians | Family Medicine | 554 Blossom Hill Rd, San Jose, CA 95123-3212 | 2006-07-25 |
| 1780109611 | California Emergency Physicians | Physical Therapist | 2048 Lincoln Ave, San Jose, CA 95125-3449 | 2017-08-11 |
| 1801084348 | California Emergency Physicians | Physical Therapist | 554 Blossom Hill Rd, San Jose, CA 95123 | 2007-10-10 |
| 1164535381 | California Emergency Physicians | Family Medicine | 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691-3940 | 2006-08-15 |
| 1154310282 | California Emergency Physicians | General Acute Care Hospital | 1250 E Almond Ave, Madera, CA 93637-5606 | 2005-10-20 |
| 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 |
1580 WINCHESTER BLVD SUITE 202 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-0519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741484 | Clifford Owen Marks | Dentist | 1580 Winchester Blvd, Ste 303, Campbell, CA 95008-0519 | 2005-06-22 |
| 1922349406 | California Hearing Aid Center West | Durable Medical Equipment & Medical Supplies | 1580 Winchester Blvd, Suite 104, Campbell, CA 95008-0519 | 2013-03-08 |
| 1265748057 | Sona Khinvasara, Dds, Inc. | Clinic/Center | 1580 Winchester Blvd, Suite 205, Campbell, CA 95008-0519 | 2010-08-31 |
| 1700192838 | Sona Khinvasara | Dentist | 1580 Winchester Blvd, #205, Campbell, CA 95008-0519 | 2010-08-26 |
| 1174795348 | Jeffrey Mew Wong | Dentist | 1580 Winchester Blvd, Suite 204, Campbell, CA 95008-0519 | 2008-03-28 |
| 1326166174 | Farnoush Drexel | Dentist | 1580 Winchester Blvd, Campbell, CA 95008-0519 | 2007-03-27 |
| 1275660516 | Elham J Louis | Family Medicine | 1580 Winchester Blvd, Ste 202, Campbell, CA 95008-0519 | 2007-02-27 |
| 1912080367 | John A. Hughes, Dds Inc. | Dentist | 1580 Winchester Blvd, Suite # 303, Campbell, CA 95008-0519 | 2006-10-21 |
| 1699885566 | Thomas Allen Hughes | Dentist | 1580 Winchester Blvd, Suite 303, Campbell, CA 95008-0519 | 2006-08-30 |
| 1669580254 | William.. Franklin Brownridge | Dentist | 1580 Winchester Blvd, Suite 303, Campbell, CA 95008-0519 | 2006-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
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| 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 |
|---|---|---|---|---|
| 1922638600 | Advanced Regen Medical Inc | Family Medicine | 471 Division St, Campbell, CA 95008-6922 | 2020-01-22 |
| 1871736959 | Amy L. Bourassa | Family Medicine | 556 Weston Dr, Campbell, CA 95008-3730 | 2009-04-20 |
| 1912940628 | Tatyana Borodulin | Family Medicine | 1600 W Campbell Ave, Campbell, CA 95008-1526 | 2006-06-13 |
| 1649261868 | Michael William Shultz | Family Medicine | 315 Struthers Liberty Rd, Campbell, OH 44405-1949 | 2005-11-04 |
| 1285624650 | Christian J. Fulmer | Family Medicine | 50 E Hamilton Ave, Suite 120, Campbell, CA 95008-0259 | 2005-10-26 |
| 1386207694 | Sarah Kathleen Hunter | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008-6625 | 2019-04-22 |
| 1760838247 | University Healthcare Alliance | Family Medicine | 50 E Hamilton Ave, Suite 200, Campbell, CA 95008-0259 | 2016-05-13 |
| 1538541255 | Jeffrey Peng | Family Medicine | 50 E Hamilton Ave Ste 120, Campbell, CA 95008-0251 | 2015-06-19 |
| 1730523499 | Nathan Glen Singh | Family Medicine | 221 E Hacienda Ave Ste B, Campbell, CA 95008 | 2013-04-24 |
| 1275660516 | Elham J Louis | Family Medicine | 1580 Winchester Blvd, Ste 202, Campbell, CA 95008-0519 | 2007-02-27 |
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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.