Active NPI
Sutter Emergency Medical Associates
- Emergency Medicine Physician
- Davis, CA
National Provider Identifier
1063504413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C42247
- Legal business name
- SUTTER EMERGENCY MEDICAL ASSOCIATES
- Practice address
- 2000 Sutter Place
Davis, CA 95616-6201 - Phone
- (530) 756-6440
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Kelly Nations, MD
- Title
- President
- Phone
- (888) 556-5613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C42247 | CA | Primary |
Addresses
Primary practice location
2000 Sutter Place
Davis, CA 95616-6201
Mailing address
P.O. Box 12020
Westminster, CA 92685-2020
Phone (888) 556-5613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0081862 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1063504413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 12020",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926852020",
"telephone_number": "888-556-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SUTTER PLACE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166201",
"telephone_number": "530-756-6440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER EMERGENCY MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "NATIONS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "KELLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-556-5613",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C42247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0081862",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
- Shirin Sultana
- Amber W Sun
- Andrew Superak, ATC
- Surgical Anesthesia Services of California
- Abigail L Sutcliffe
- Sutter Health
- Sutter Health Sacramento Sierra Region (Sutter Davis Hospital)
- Sutter Valley Hospitals (Sutter Davis Hospital)
- Sutter Valley Medical Foundation (Sutter Medical Foundation)
- Sutter Valley Medical Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.