CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP (NPI# 1871812305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871812305 |
Entity Type | Organization |
Organization Name | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP |
Practice Address |
222 W 39th Ave San Mateo CA 94403-4364 |
Mailing Address |
2100 Powell St Suite 900 Emeryville CA 94608-1826 |
Practice Telephone | 6505732671 |
Mailing Telephone | 5103502600 |
Mailing Fax Number | 5108799100 |
Enumeration Date | 2010-05-24 |
Last Update Date | 2010-05-24 |
Authorized Official Name | MARK JEFFREY SPIRO (COO) |
Authorized Official Telephone | 5103502600 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740473172 | California Emergency Physicians Medical Group | Emergency Medicine | 120 Craven Rd Ste 105, San Marcos, CA 92078-4236 | 2007-08-20 |
1184647059 | California Emergency Physicians Medical Group | Family Medicine | 8833 Monterey Rd, Suite H, Gilroy, CA 95020 | 2006-07-25 |
1548204787 | California Emergency Physicians Medical Group | Emergency Medicine | 2800 Benedict Drive, San Leandro, CA 94577 | 2006-06-16 |
1699721027 | California Emergency Physicians Medical Group | Emergency Medicine | 400 West Mineral King Avenue, Visalia, CA 93291-6263 | 2006-05-26 |
1891749719 | California Emergency Physicians Medical Group | Emergency Medicine | 31872 S. Coast Medical Center, Laguna Beach, CA 92651 | 2006-05-22 |
1427127661 | California Emergency Physicians Medical Group | Emergency Medicine | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2006-11-06 |
1467532549 | California Emergency Physicians Medical Group | Emergency Medicine | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2006-10-16 |
1285676049 | California Emergency Physicians Medical Group | Emergency Medicine | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2006-06-12 |
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 |
222 W 39TH AVE |
City | SAN MATEO |
State | CA |
Zip Code | 94403-4364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780683789 | Diana V Jao | Internal Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2005-07-20 |
1306465125 | Rennie Burke | Student in an Organized Health Care Education/Training Program | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-04-11 |
1447887856 | Michelle Wong | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-03-25 |
1508406398 | Alexandria Vanessa Perez | Counselor | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-01-09 |
1275197899 | Connie Chen | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-29 |
1063075596 | Jiaochen Ke | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-19 |
1952877524 | Asmi Mehta | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-10-22 |
1649753427 | Ariane Beck | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-09-08 |
1114408176 | Matthew Tyler Sachs | Registered Nurse | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-08-27 |
1679066047 | Niloofar Zabihi | Pharmacist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
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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 |
---|---|---|---|---|
1881629707 | Richard D Almeida | Emergency Medicine | 222 West 39th Avenue, San Mateo, CA 94403-4364 | 2006-07-11 |
1104864396 | Robert Anthony Mueller | Emergency Medicine | 700 Claremont St, Suite 220, Sutter Vna & Hospice, San Mateo, CA 94402-1452 | 2006-06-02 |
1366433153 | Dwight David Gaggero | Emergency Medicine | 3460 Glendora Dr, San Mateo, CA 94403-3943 | 2005-11-02 |
1649753427 | Ariane Beck | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-09-08 |
1730592148 | Jeanine Gore | Emergency Medicine | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 2014-06-04 |
1609286400 | Cep America - California | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2014-05-01 |
1124300652 | Zara Rachel Mathews | Emergency Medicine | 222 W 39th Ave, Smmc Emergency Department, San Mateo, CA 94403-4364 | 2011-09-10 |
1811280563 | Kevin Masek | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2011-05-26 |
1518194562 | Stacie Allison Solt | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2009-06-17 |
1780840397 | Diana Strasburger Goodwine | Emergency Medicine | 222 W 39th Ave, Emergency Department, San Mateo, CA 94403-4364 | 2008-08-03 |
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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.