Palm Drive Emergency Physicians Medical Group Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PALM DRIVE EMERGENCY PHYSICIANS MEDICAL GROUP INC

Practice address

1250 16TH St
Santa Monica, CA 90404-1249

Phone

(424) 259-8401

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Steven P. Maron, M.D.

Title

President

Phone

(626) 447-0296

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua M Mechanic, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1447413992
  NPD (past)
• Hillary Bassett Pereira, M.D.

  • General Acute Care Hospital
  • San Ramon, CA
  • NPI 1134327224
  NPD (past)
• Craig S Brummer, MD

  • Emergency Medicine Physician
  • Austell, GA
  • NPI 1053425207
  NPD (past)

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1184927964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1339",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910771339",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041249",
            "telephone_number": "424-259-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DRIVE EMERGENCY PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "MARON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-447-0296",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184927964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter H Pak, M.D.
• Lisa Palac, LMFT
• Nicolaos Jay Palaskas, M.D.
• Benjamin Louis Palla, DMD
• Angela Pallesi, M.D.
• Kathleen Marie Palma, LMFT
• Brittin Shalom Palmer, LMFT, LPCC
• Sienna Palmer, D.D.S.
• Caylee Gray Palmisano, MS
• Pamela H Paige, LCSW

• Emergency Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.