CALIFORNIA EM-I MEDICAL SERVICES (NPI# 1821237371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821237371 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EM-I MEDICAL SERVICES |
| Practice Address |
15630 18th Ave Clearlake CA 95422-9336 |
| Mailing Address |
3916 State St #300 Santa Barbara CA 93105-5602 |
| Practice Telephone | 7079955890 |
| Mailing Telephone | 8055633011 |
| Mailing Fax Number | 8055645087 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | ANGEL L ISCOVICH (PRESIDENT) |
| Authorized Official Telephone | 8055633011 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | CA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | CA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265706386 | California Em-i Medical Services | Nurse Practitioner | 240 Spruce St, Gridley, CA 95948-2216 | 2012-03-07 |
| 1508022245 | California Em-i Medical Services | Nurse Practitioner | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2008-08-01 |
| 1437321288 | California Em-i Medical Services | Emergency Medicine | 16453 Colorado Ave, Paramount, CA 90723-5011 | 2008-04-01 |
| 1346438033 | California Em-i Medical Services | Emergency Medicine | 2231 S Western Ave, Los Angeles, CA 90018-1302 | 2007-10-09 |
| 1700835816 | California Em-i Medical Services | Emergency Medicine | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-05-08 |
| 1649229600 | California Em-i Medical Services | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2006-05-08 |
| Street Address |
15630 18TH AVE |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422-9336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018031 | Adventist Health Clearlake Hospital Inc. | General Acute Care Hospital | 15630 18th Ave, Clearlake, CA 95422-6710 | 2005-10-24 |
| 1053927608 | Stephenie Hargrove | Nurse Practitioner | 15630 18th Ave, Clearlake, CA 95422-9336 | 2020-09-18 |
| 1740804368 | Matthew Jasun Lee | Dietitian, Registered | 15630 18th Ave, Clearlake, CA 95422-9336 | 2020-05-29 |
| 1326404948 | Bhaisaja PC | Anesthesiology | 15630 18th Ave, Clearlake, CA 95422-9336 | 2016-01-12 |
| 1811362585 | Jennifer A Dowalter Md A Professional Corporation | Internal Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | 2015-12-07 |
| 1609255660 | Amber Warner | Social Worker | 15630 18th Ave, Clearlake, CA 95422-9336 | 2015-05-23 |
| 1356649545 | Laurie K Halversen | Social Worker | 15630 18th Ave, Clearlake, CA 95422-9336 | 2011-03-11 |
| 1760614150 | Alliance Healthcare Services Inc | Clinic/Center | 15630 18th Ave, Clearlake, CA 95422 | 2009-08-18 |
| 1487897047 | Adventist Health Clearlake Hospital Inc. | General Acute Care Hospital | 15630 18th Ave, Clearlake, CA 95422 | 2009-04-13 |
| 1023263399 | Konocti Emergency Physicians | Emergency Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | 2008-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| 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 |
|---|---|---|---|---|
| 1104877208 | Jj&r Emergency Medical Group of California, Inc. | Emergency Medicine | 18th Avenue and Highway 53, Emergency Department, Clearlake, CA 95422-6720 | 2006-05-13 |
| 1023263399 | Konocti Emergency Physicians | Emergency Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | 2008-11-29 |
| 1932354206 | Premier Emergency Physicians of California | Emergency Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | 2008-11-29 |
| 1902840176 | John Hewitt | Emergency Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | 2006-06-16 |
| 1952344186 | Paul Marchand | Emergency Medicine | 18th Avenue and Highway 53, Emergency Department, Clearlake, CA 95422-6720 | 2006-06-14 |
| 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.