CCHP EMS Ca

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CCHP EMS CA

Practice address

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130

Phone

(760) 446-3551

Fax

(818) 462-0991

NPI assigned

Dec 17, 2018

Organization subpart

Yes

Parent organization

LAWRENCE A BEAN MD CCHP EMS CA INCAs reported in NPPES

Name

Lawrence A Bean, MD

Title

President, Managing Partner

Phone

(866) 225-0350

Part of

CCHP EMS Ca

• CCHP EMS CA Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2018.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1144792011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CENTRAL EXPY S STE 400",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138113",
            "telephone_number": "866-225-0350",
            "fax_number": "818-462-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-446-3551",
            "fax_number": "818-462-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCHP EMS CA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWRENCE A BEAN MD CCHP EMS CA INC",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, MANAGING PARTNER",
        "authorized_official_telephone_number": "866-225-0350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCHP EMS CA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Ridgecrest, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.