Calaveras Emergency Physicians,
Organization Active NPI Emergency Medicine Physician · San Andreas, CA
NPI 1003109570 · NPPES record last updated Feb 10, 2014
Key facts
- NPI
- 1003109570
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CALAVERAS EMERGENCY PHYSICIANS,
- Practice address
- 768 Mountain Ranch Rd
San Andreas, CA 95249-9707 - Phone
- (209) 754-3251
- NPI assigned
- May 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Charles T Mitchell, MD
- Title
- President
- Phone
- (469) 401-2386
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (469) 401-2386
Other providers in San Andreas, CA
- Patricia Ann Bruna
- Cynthia Lynn Buetow
- Jessica Renee Burke
- Calaveras County
- Calaveras County Substance Abuse Program
- Calaveras Sleep Diagnostics, LLC
- Calaveras Unified School District
- Leslie Calestini
- California Em-I Medical Services, a Medical Corporation
- Rebecca Carrillo
All providers in San Andreas, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.