Cep America - California
Organization Active NPI Emergency Medicine Physician · San Bernardino, CA
NPI 1215217088 · NPPES record last updated Mar 19, 2020
Key facts
- NPI
- 1215217088
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA - CALIFORNIA
- Practice address
- 1805 Medical Center Dr
San Bernardino, CA 92411-1217 - Phone
- (909) 887-6333
- NPI assigned
- Aug 24, 2011
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Chief Operations Officer
- Phone
- (510) 350-2600
Practitioners 48
-
Amgad Alfred, PA-C
-
Denise Louise Ammon, M.D.
-
David Andrew Birdsall, M.D.
-
Joyce M Bond, PA
-
Danielle Riane Brasher, PA-C
-
Talia Mariam Brinton, PA-C
-
Susan H Doddridge, P.A-C
-
Joann Edelo Escalante-Alviz, F.N.P.-C
-
Haley Nichole Folta, PA-C
-
Pasha Sheree Fruman, PA-C
-
Sean Grammy, D.O.
-
Tiffany Hackett, M.D.
-
Rashonda Nicole Hall, CNP
-
Matthew Ulysses Janssen, M.D..
-
Megan Ly Leung, M.D
-
Stephen R Levinson, M.D.
-
Gary Alan Li, M.D
-
William M Mills, M.D.
-
Megan Christine O'Brien, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1805 Medical Center Dr
San Bernardino, CA 92411-1217
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
Other names
- Vituity
Other providers in San Bernardino, CA
- Central Neighborhood Health Foundation
- Central Neighborhood Health Foundation - Base Line San Bernardino
- Central Neighborhood Health Foundation - Highland
- Central Occupational Medicine Providers - Ontario, a Medical Corporati
- Centre for Plastic Surgery
- Cep America - California
- Cep America - Neurology PC
- James Earl Cephas
- Cesar Ernesto Cerda
- Vanessa Cereceres
All providers in San Bernardino, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.