PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA (NPI# 1770752545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770752545 |
| Entity Type | Organization |
| Organization Name | PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA |
| Practice Address |
1310 Hanna Ave Corcoran CA 93212-2314 |
| Mailing Address |
3916 State St #300 Santa Barbara CA 93105-5602 |
| Practice Telephone | 5599925051 |
| Mailing Telephone | 8055633011 |
| Mailing Fax Number | 8055645087 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | DR. 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 | 1770752545 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831448943 | Premier Emergency Physicians of California | Family Medicine | 1100 Butte Street, Redding, CA 96001 | 2012-09-05 |
| 1306126578 | Premier Emergency Physicians of California | Emergency Medicine | 501 E. Locust St., Lone Pine, CA 93545 | 2011-08-19 |
| 1932354206 | Premier Emergency Physicians of California | Emergency Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | 2008-11-29 |
| 1225289135 | Premier Emergency Physicians of California | Physician Assistant | 820 E Mountain View St, Barstow, CA 92311-3004 | 2008-10-09 |
| 1326222456 | Premier Emergency Physicians of California | Emergency Medicine | 300 Canal St, King City, CA 93930-3431 | 2007-12-26 |
| 1063696102 | Premier Emergency Physicians of California | Emergency Medicine | 9542 Artesia Blvd, Bellflower, CA 90706-6511 | 2007-12-26 |
| 1427237163 | Premier Emergency Physicians of California | Emergency Medicine | 1191 Phelps Ave, Coalinga, CA 93210-9609 | 2007-10-30 |
| 1265620959 | Premier Emergency Physicians of California | Emergency Medicine | 2231 S Western Ave, Los Angeles, CA 90018-1302 | 2007-10-09 |
| 1891994174 | Premier Emergency Physicians of California | Nurse Practitioner | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2007-07-16 |
| 1184673923 | Premier Emergency Physicians of California | Emergency Medicine | 3001 Sillect Ave, Bakersfield, CA 93308-6337 | 2006-05-09 |
| Street Address |
1310 HANNA AVE |
| City | CORCORAN |
| State | CA |
| Zip Code | 93212-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334595 | Corcoran District Hospital | General Acute Care Hospital | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2005-05-31 |
| 1235475484 | Reedley Community Hospital | Clinic/Center | 1310 Hanna Ave, Suite 1 & 3, Corcoran, CA 93212-2314 | 2012-12-17 |
| 1841583028 | Jasper Fermell Basit | Family Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2011-05-23 |
| 1942479712 | Whitley Emergency Physicians | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2008-02-26 |
| 1255460176 | Corcoran District Hospital | Clinic/Center | 1310 Hanna Ave, #3, Corcoran, CA 93212-2314 | 2007-03-05 |
| 1316075831 | E Scott Nielsen Md PC | Family Medicine | 1310 Hanna Ave, Suite 1, Corcoran, CA 93212-2314 | 2007-02-28 |
| 1952444150 | David Glen Ayers | Physical Therapist | 1310 Hanna Ave, Corcoran District Hospital, Corcoran, CA 93212 | 2007-02-15 |
| 1144304684 | Geri Lynn Mahaffey | Specialist | 1310 Hanna Ave, Ste 1, Corcoran, CA 93212-2314 | 2006-10-24 |
| 1881789188 | Ezra Scott Nielsen | Family Medicine | 1310 Hanna Ave, Ste 1, Corcoran, CA 93212-2314 | 2006-10-03 |
| 1669564969 | John Stewart Colocousis | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746583 | Luis Alvarez | Specialist/Technologist | 1000 Alder Ave, Corcoran, CA 93212 | 2016-09-01 |
| 1881893667 | William Joseph Mcguinness | Internal Medicine | 4001 W. King Ave, Corcoran, CA 93212 | 2007-07-12 |
| 1265576912 | Kings View Counseling Services for Kings Count | Community/Behavioral Health | 1002 Dairy Avenue, Corcoran, CA 93212 | 2007-02-16 |
| 1255480406 | John Vernon Dale Richardson | Dentist | 1409 Whitley Ave, Suite D, Corcoran, CA 93212 | 2007-01-09 |
| 1093748923 | Michael Alan Ross | Physician Assistant | 900 Quebec, Corcoran, CA 93212 | 2006-07-07 |
| 1407460454 | Tiffany Jean Sparks-mendoza | Social Worker | 4001 King Ave., Corcoran, CA 93212 | 2020-09-06 |
| 1376190876 | Corrections and Rehabilitation | Pharmacy | 4001 King Avenue, Corcoran, CA 93212 | 2019-08-20 |
| 1639507825 | Benjamin J Adam | Psychologist | 4001 King Ave, Corcoran, CA 93212 | 2013-10-24 |
| 1427317700 | Carolyn Virginia Bola | Psychologist | 4001 King Ave, Corcoran, CA 93212 | 2012-05-08 |
| 1629379367 | Rachel Simmi Jerdin | Social Worker | 900 Quebec Ave, Corcoran, CA 93212 | 2010-11-11 |
| Find all providers in zip 93212 | ||||
| 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 |
|---|---|---|---|---|
| 1942479712 | Whitley Emergency Physicians | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2008-02-26 |
| 1669564969 | John Stewart Colocousis | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2006-09-28 |
| 1194835652 | Valley Emergency Physicians | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2006-08-30 |
| 1376653758 | Michele Ann Chapman | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2006-08-30 |
| 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.