PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA PC (NPI# 1831148071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831148071 |
| Entity Type | Organization |
| Organization Name | PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA PC |
| Practice Address |
1300 N Vermont Ave Hollywood CA 90027-6005 |
| Mailing Address |
Po Box 41969 Philadelphia PA 19101-1969 |
| Practice Telephone | 3239134892 |
| Mailing Telephone | 8005272145 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | CHARLES T MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 8002305160 |
| 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 | GR0094160 | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ64757Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174572945 | Premier Emergency Physicians of California PC | Emergency Medicine | 240 Spruce St, Gridley, CA 95948-2216 | 2006-05-09 |
| 1578512711 | Premier Emergency Physicians of California PC | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-05-06 |
| Street Address |
1300 N VERMONT AVE |
| City | HOLLYWOOD |
| State | CA |
| Zip Code | 90027-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356398861 | Sung Kim, M.d., Apc | Anesthesiology | 1300 N Vermont Ave, Hollywood, CA 90027-6005 | 2006-05-28 |
| 1740239987 | California Em-i Medical Services PC | Emergency Medicine | 1300 N Vermont Ave, Hollywood, CA 90027-6005 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| 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 |
|---|---|---|---|---|
| 1639462609 | Gurpaul Singh Bajwa | Emergency Medicine | 3510 Johnson Street, Hollywood, FL 33021-1575 | 2011-05-24 |
| 1881843431 | Samuel Jeffrey Gerson | Emergency Medicine | 3990 Sheridan St Ste 212, Hollywood, FL 33021-3656 | 2008-09-18 |
| 1164694907 | Diego Roberto Abdelnur | Emergency Medicine | 1555 Vine St, Apt 311s, Hollywood, CA 90028-7359 | 2008-04-01 |
| 1407878838 | Christopher Johnson | Emergency Medicine | 300 South Park Road, Suite 400, Hollywood, FL 33021 | 2006-07-24 |
| 1306831359 | Sterling Emergency Services of Florida Pa | Emergency Medicine | 3600 Washington St, Hollywood, FL 33021-8216 | 2005-09-15 |
| 1417957218 | David S Schillinger | Emergency Medicine | 300 S Park Rd, # 400, Hollywood, FL 33021-8593 | 2005-07-22 |
| 1093247330 | Louis Anthony Jane | Emergency Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2017-03-28 |
| 1386094274 | Catherine Elizabeth Uthe | Emergency Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2016-06-21 |
| 1982054029 | Matthew Yasavolian | Emergency Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2016-06-20 |
| 1407238363 | Diab Diab | Emergency Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2015-06-26 |
| Find all providers in HOLLYWOOD | ||||
Please comment or provide details below to improve the information on PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA PC.
| 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.