PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA (NPI# 1891994174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891994174 |
| Entity Type | Organization |
| Organization Name | PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA |
| Practice Address |
465 W Putnam Ave Porterville CA 93257-3320 |
| Mailing Address |
Po Box 37655 Philadelphia PA 19101-0655 |
| Practice Telephone | 5597848886 |
| Practice Fax Number | 5597914802 |
| Mailing Telephone | 8055633011 |
| Mailing Fax Number | 8055645087 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2009-09-17 |
| Authorized Official Name | 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 |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD | DH0325 | 01 |
| CA | 1891994174 | 05 | |
| CA | GR0094164 | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ62867Z | 01 |
| 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 |
| 1770752545 | Premier Emergency Physicians of California | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2008-02-26 |
| 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 |
| 1184673923 | Premier Emergency Physicians of California | Emergency Medicine | 3001 Sillect Ave, Bakersfield, CA 93308-6337 | 2006-05-09 |
| Street Address |
465 W PUTNAM AVE |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143381 | Sierra View Local Health Care District | General Acute Care Hospital | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2006-02-16 |
| 1740889245 | Otilia Zepeda | Nurse Practitioner | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2020-10-26 |
| 1215573910 | Lynette Joy Menchaca | Registered Nurse | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2019-11-18 |
| 1790337145 | Jason Thomas Chan | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2019-07-15 |
| 1316406796 | David N Deppen | Nurse Practitioner | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2019-03-15 |
| 1487125019 | Nes Western Group, A Professional Corporation | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2018-12-07 |
| 1962998625 | Nes of Shelby Inc | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257 | 2018-07-06 |
| 1508397936 | Karrie Ka Wai Lau | Internal Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2017-03-27 |
| 1194260612 | Oak Grove Critical Care Inc | Internal Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2016-12-20 |
| 1679923213 | Rose Stromila | Radiologic Technologist | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| 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 |
|---|---|---|---|---|
| 1457445678 | Erika Kati-ki Wilson | Emergency Medicine | 465 West Putnam Ave, Porterville, CA 93257 | 2006-10-03 |
| 1790337145 | Jason Thomas Chan | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2019-07-15 |
| 1487125019 | Nes Western Group, A Professional Corporation | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2018-12-07 |
| 1962998625 | Nes of Shelby Inc | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257 | 2018-07-06 |
| 1780049080 | Cep America - California | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2015-12-31 |
| 1962413203 | David H Nguyen | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2006-08-11 |
| 1831100635 | Mark A Eller | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2006-08-10 |
| 1790796571 | Reagan Brian Bellinghausen | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2006-08-10 |
| 1750392536 | Dewane K Brueske | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2006-08-10 |
| 1801807557 | Ernest W Kazato | Emergency Medicine | 465 W Putnam Ave, Porterville, CA 93257-3320 | 2006-08-10 |
| Find all providers in PORTERVILLE | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
Please comment or provide details below to improve the information on PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA.
| 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.