Active NPI
Cep America - California
Doing business as Vituity
- Emergency Medicine Physician
- Moss Beach, CA
National Provider Identifier
1104871615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CEP AMERICA - CALIFORNIA
- Doing business as
- Vituity
- Practice address
- 600 Marine Boulevard
Moss Beach, CA 94038-9641 - Phone
- (650) 728-5521
- NPI assigned
- May 23, 2006
- Last updated
- Feb 16, 2018
- 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
- David Birdsall, MD
- Title
- Chief Operations Officer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
600 Marine Boulevard
Moss Beach, CA 94038-9641
Mailing address
2100 Powell St Ste 900
Emeryville, CA 94608-1844
Phone (510) 350-2600
Other names 1
- Vituity
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000520 | CA | Part B Supplier - Clinic/Group Practice | 6103739131 |
Receives reassigned benefits from 3,525 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Emergency Medicine Physician
- Walnut Creek, CA
- NPI 1164445615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518739200000",
"number": "1104871615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARINE BOULEVARD",
"city": "MOSS BEACH",
"state": "CA",
"postal_code": "940389641",
"telephone_number": "650-728-5521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA - CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2018-02-16",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "510-350-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vituity",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moss Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.