CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP. (NPI# 1952776353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952776353 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP. |
| Practice Address |
2100 Powell St Ste 900 Emeryville CA 94608-1826 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 5103502638 |
| Mailing Telephone | 5103502638 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | THEOPHILE KOURY (PRESIDENT) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881059657 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 179 Fairview Ln, Sonora, CA 95370-4809 | 2015-12-22 |
| 1457833295 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 1303 E Herndon Ave, Fresno, CA 93720-3309 | 2018-08-29 |
| 1306210554 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 9106 Pine View Ln, Clinton, MD 20735-3229 | 2015-11-25 |
| 1851765770 | California Emergency Physicians Medical Group, A Professional Corp. | Assisted Living Facility | 1325 Las Villas Way, Escondido, CA 92026-1946 | 2015-11-16 |
| 1982076055 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2015-10-28 |
| 1770950230 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 760 E Bobier Dr, Vista, CA 92084-3806 | 2015-08-31 |
| 1871960427 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 1325 Las Villas Way, Escondido, CA 92026-1946 | 2015-08-31 |
| 1205212032 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2015-08-04 |
| 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 |
2100 POWELL ST STE 900 |
| City | EMERYVILLE |
| State | CA |
| Zip Code | 94608-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679552335 | Anne Ninita Knight | Nurse Practitioner | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2006-01-11 |
| 1205375151 | Kelly Denise Riney | Nurse Practitioner | 2100 Powell St, 900, Emeryville, CA 94608 | 2017-02-13 |
| 1902254758 | California Emergency Physicians Medical Group, A Professional Corporat | Skilled Nursing Facility | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2016-06-01 |
| 1689021131 | Ryan Hoang-khai Nguyen | Physician Assistant | 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 | 2016-05-14 |
| 1811355274 | Michael Brazelton | Physician Assistant | 2100 Powell St, Suite 920, Emeryville, CA 94608 | 2016-02-01 |
| 1023419686 | Eugenia Brazal Magahis | Nurse Practitioner | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2014-09-12 |
| 1306245410 | Christopher R Williams | Physician Assistant | 2100 Powell St, Emeryville, CA 94608-1826 | 2014-08-14 |
| 1073925160 | Will Richard Blackmon IIi | Physician Assistant | 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 | 2014-05-23 |
| 1962821629 | David Kohanchi | Anesthesiology | 2100 Powell St, Emeryville, CA 94608 | 2014-04-09 |
| 1992147946 | Michael T Maricle | Physician Assistant | 2100 Powell St, Ste 900, Emeryville, CA 94608-1826 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| 1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
| 1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
| 1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
| 1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
| 1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
| 1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
| Find all providers in zip 94608 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770896722 | Sasan Sazgar | Internal Medicine | 2100 Powell Street Suite 900, Emeryville, CA 94608-1803 | 2010-07-20 |
| 1508812363 | Nelson Bunin | Internal Medicine | 5915 Hollis St Ste B, Emeryville, CA 94608-2066 | 2006-05-25 |
| 1578532370 | Peter E Alperin | Internal Medicine | 1250 45th Street, Suite 355, Emeryville, CA 94608 | 2006-03-15 |
| 1245209204 | Lorilyn L Seid | Internal Medicine | 1250 45th St, Ste 355, Emeryville, CA 94608-2924 | 2006-03-14 |
| 1477522548 | Clay R Angel | Internal Medicine | 1250 45th Avenue, Suite 355, Emeryville, CA 94608 | 2006-03-14 |
| 1780028993 | Aaron N Smith | Internal Medicine | 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 | 2013-04-18 |
| 1023339413 | Clare Moynihan | Internal Medicine | 5800 Hollis St, Emeryville, CA 94608-2016 | 2010-06-20 |
| 1548585193 | Amanda Ching-wun Cheung | Internal Medicine | 5800 Hollis St, Emeryville, CA 94608 | 2010-04-06 |
| 1407096787 | Arzhang Zereshki | Internal Medicine | 1335 Stanford Ave, Emeryville, CA 94608-2536 | 2009-02-26 |
| 1003011842 | Galen Inpatient Physicians | Internal Medicine | 2100 Powell St, Ste 900, Emeryville, CA 94608-1826 | 2007-06-20 |
| Find all providers in EMERYVILLE | ||||
| City | EMERYVILLE |
| Zip Code | 94608 |
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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.