CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION (NPI# 1972629079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972629079 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION |
| Practice Address |
210 W San Bernardino Rd Covina CA 91723-1515 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | DR. MARK J SLEPIN (DIRECTOR/OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1972629079 | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ50975Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265481246 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 1515 East Ocean Avenue, Lompoc, CA 93436-7337 | 2006-05-08 |
| 1386693521 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 3700 E South St, Lakewood, CA 90712-1419 | 2006-05-06 |
| 1053779140 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2016-02-03 |
| 1245612811 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 800 E Washington Blvd, Crescent City, CA 95531-8359 | 2015-06-19 |
| 1801202692 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2014-07-01 |
| 1225443773 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 41870 Garstin Drive, Big Bear Lake, CA 92315 | 2014-06-24 |
| 1043562002 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-10-15 |
| 1306195417 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 1100 Butte Street, Redding, CA 96001 | 2012-09-05 |
| 1881987360 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2011-05-17 |
| 1144469081 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 3800 Janes Rd, Arcata, CA 95521-4742 | 2009-02-17 |
| Street Address |
210 W SAN BERNARDINO RD |
| City | COVINA |
| State | CA |
| Zip Code | 91723-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921616 | Uri Martin Zisblatt | Radiology | 210 W San Bernardino Rd, Dept of Rad Onc, Covina, CA 91723-1515 | 2005-06-13 |
| 1164021457 | Kendira Villalobos | Occupational Therapist | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-10-19 |
| 1487260113 | Janet C Cruz | Nurse Practitioner | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-09-17 |
| 1730711037 | Shaheen Kaukab Akram | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-02-05 |
| 1538790340 | Annette Doria Lau | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-01-30 |
| 1760013858 | Frederick John Ruiz Go | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-01-28 |
| 1134750474 | Benjamin Herrick | Nurse Practitioner | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-01-27 |
| 1639729833 | Ryan Edward Estrada | Physician Assistant | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2019-09-19 |
| 1235787680 | Tatianna Elisa De Franco | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2019-08-29 |
| 1225685258 | Cristina Rusu | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2019-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| 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 |
|---|---|---|---|---|
| 1629104526 | Rio Sutikno-ong | Emergency Medicine | 420 W San Bernardino Rd, Covina, CA 91723 | 2007-02-26 |
| 1235503947 | Cep America - California | Emergency Medicine | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2015-11-18 |
| 1275714602 | Christine D. Chen | Emergency Medicine | 420 W Rowland St, Covina, CA 91723-2943 | 2007-11-14 |
| 1104037159 | Sarah S Anh | Emergency Medicine | 420 W Rowland St, Covina, CA 91723-2943 | 2007-05-24 |
| 1841315587 | Covina Emergency Medical Group, Inc. | Emergency Medicine | 210 W San Bernardino Rd, Emergency Dept, Covina, CA 91723-1515 | 2007-03-20 |
| 1619025665 | Peter L. Kennedy | Emergency Medicine | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2007-01-08 |
| 1184691644 | John Thomas Chon Sr. | Emergency Medicine | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134108 | Robert Rene Gosselin | Emergency Medicine | 14017 Banner Mtn Lookout Rd, Nevada City, CA 95959-9657 | 2020-11-06 |
| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1356959266 | Rgx Medical | Emergency Medicine | 1050 E Cypress Ave, Burbank, CA 91501-1310 | 2020-07-16 |
| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
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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.