EDEN EMERGENCY MEDICAL GROUP INC (NPI# 1891786240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891786240 |
Entity Type | Organization |
Organization Name | EDEN EMERGENCY MEDICAL GROUP INC |
Practice Address |
20103 Lake Chabot Rd Emergency Dept Castro Valley CA 94546-5305 |
Mailing Address |
Po Box 734861 Chicago IL 60673-4861 |
Practice Telephone | 2093422300 |
Practice Fax Number | 2095244240 |
Mailing Telephone | 8002250953 |
Mailing Fax Number | 5629245830 |
Enumeration Date | 2005-11-03 |
Last Update Date | 2020-02-12 |
Authorized Official Name | JONATHAN SCOTT MCWHORTER (PRESIDENT) |
Authorized Official Telephone | 7068598998 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 001645 | CA | Allopathic & Osteopathic Physicians |
Street Address |
20103 LAKE CHABOT RD EMERGENCY DEPT |
City | CASTRO VALLEY |
State | CA |
Zip Code | 94546-5305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122179 | Eden Medical Center | General Acute Care Hospital | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2005-05-23 |
1902412430 | Kenneth A Harris | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-09-21 |
1417568916 | Michael A Esparza Md Inc | Surgery | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-08-10 |
1417596289 | Linda Ann Scott-hickman | Pharmacist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2019-12-27 |
1821598418 | Alyan Ali, M.d., Inc. | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2018-02-20 |
1508374489 | David C Bonovich Md | Psychiatry & Neurology | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2018-01-13 |
1922511278 | Lisa Gaye Quan | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-11-08 |
1114439593 | David Paul Rathmann | Speech-Language Pathologist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-10-25 |
1205378668 | Jacqueline Margolese | Nurse Practitioner | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2016-11-15 |
1386098309 | Travis Sunlum Lee | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2016-04-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
Find all providers in zip 94546 |
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 |
---|---|---|---|---|
1679968978 | Alexei Adan | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2015-04-02 |
1609296151 | Scott William Powell | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2014-04-23 |
1699919746 | Jonathan Scott Mcwhorter | Emergency Medicine | 20103 Lake Chabot Rd, Eden Emergency Medical Group, Castro Valley, CA 94546-5305 | 2009-04-20 |
1093977696 | Shawn Kaku | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2008-06-26 |
1265607402 | Nathalie Coeller | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2008-04-29 |
1225014673 | Ralph James Damato | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | 2005-12-19 |
1396729158 | Peter Glenn Joseph | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | 2005-12-05 |
1508849613 | Ben Edward Meek | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | 2005-11-22 |
1508847237 | Merrill A Chandler | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | 2005-11-09 |
1306837521 | Alan Russ Gottlieb | Emergency Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | 2005-11-04 |
Find all providers in CASTRO VALLEY |
City | CASTRO VALLEY |
Zip Code | 94546 |
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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.