NPIMap

Organization Active NPI

Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Folsom, CA
National Provider Identifier
1104492925
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CEP AMERICA - ANESTHESIA PC
Practice address
1650 Creekside Dr
Folsom, CA 95630-3400
Phone
(916) 783-7400
NPI assigned
Jun 2, 2021
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
David Birdsall, MDNPI 1164445615
Title
Vice President and Secretary
Phone
(510) 350-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1650 Creekside Dr
Folsom, CA 95630-3400

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600

Other practice location 1

1651 Creekside Dr Ste 100
Folsom, CA 95630-3833
Phone (916) 673-1990

Other practice location 2

5220 Douglas Blvd
Granite Bay, CA 95746-6205
Phone (916) 242-2662

Other practice location 3

1561 Creekside Dr Ste 110
Folsom, CA 95630-3494
Phone (916) 984-8585

Other practice location 4

8135 Saratoga Way
El Dorado Hills, CA 95762-4590
Phone (916) 238-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150115001110 CA Part B Supplier - Clinic/Group Practice 3678897915 Receives reassigned benefits from 822 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Clarita, CA; Redding, CA; Redwood City, CA; Roseville, CA; Sacramento, CA; San Jose, CA; San Ramon, CA; Stockton, CA…

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Cep America - Anesthesia PC36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

1561 Creekside Dr
Ste 110
Folsom, CA 95630
Phone (916) 984-1600

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1104492925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303400",
            "telephone_number": "916-783-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Creekside Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303833",
            "country_code": "US",
            "telephone_number": "916-673-1990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5220 Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Granite Bay",
            "state": "CA",
            "postal_code": "957466205",
            "country_code": "US",
            "telephone_number": "916-242-2662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Creekside Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303494",
            "country_code": "US",
            "telephone_number": "916-984-8585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8135 Saratoga Way",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957624590",
            "country_code": "US",
            "telephone_number": "916-238-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEP AMERICA - ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "510-350-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.