Organization Active NPI

Emg

  • Family Medicine Physician
  • Spring Valley, CA
National Provider Identifier
1003995101
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16585 Issued in CA
Legal business name
EMG
Practice address
10225 Austin Dr
Ste #103
Spring Valley, CA 91978-1500
Phone
(619) 660-6719
Fax
(619) 660-5934
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry Winegar, MD
Title
Medical Director
Phone
(619) 444-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 16585 CA Primary

Addresses

Primary practice location

10225 Austin Dr
Ste #103
Spring Valley, CA 91978-1500

Mailing address

10225 Austin Dr
Ste #103
Spring Valley, CA 91978-1500
Phone (619) 660-6719

Other identifiers 1

IdentifierTypeStateIssuer
W11716OtherMEDICARE CROUP #

National Provider Directory

National Provider Directory

Locations

10225 Austin Dr
Ste 103
Spring Valley, CA 91978
Phone (619) 825-7733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1003995101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 AUSTIN DR",
            "address_2": "STE #103",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781500",
            "telephone_number": "619-660-6719",
            "fax_number": "619-660-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 AUSTIN DR",
            "address_2": "STE #103",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781500",
            "telephone_number": "619-660-6719",
            "fax_number": "619-660-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WINEGAR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-444-7454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "16585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CROUP #",
            "identifier": "W11716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.