Cep America - Anesthesia PC
Organization Active NPI Anesthesiology Physician · Grass Valley, CA
NPI 1215413638 · NPPES record last updated Sep 12, 2023
Key facts
- NPI
- 1215413638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- CEP AMERICA - ANESTHESIA PC
- Practice address
- 155 Glasson Way
Grass Valley, CA 95945-5723 - Phone
- (530) 274-6000
- NPI assigned
- Jul 18, 2018
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Vice President & Secretary
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 17
Corporate family (same tax ID) 35
Practitioners 23
-
Dua M. Anderson, M.D., M.S.
-
Jeffrey Lee Anderson, M.D.
-
Lawrence David Bercutt, M.D.
-
Alexandra Chesnokova, M.D.
-
James Jason Cooney, M.D.
-
Gary Andrew Glenesk, M.D.
-
Gregory John Miles, CRNA
-
Derek Lawrence Owens, CRNA
-
Matthew Joel Storment, M.D.
-
David Y Tang, M.D.
-
David Paul Whalen, M.D.
-
Barry Young, MD
-
Teresa Edwards, MD
-
Sean Michael Morgan, D.O.
-
Kei Satoh, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Tax ID family
- Cep America - Anesthesia PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
155 Glasson Way
Grass Valley, CA 95945-5723
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2680
Other practice location 1
400 Sierra College Dr Ste B
Grass Valley, CA 95945-5093
Phone (530) 272-3428
Other practice location 2
408 Sierra College Dr
Grass Valley, CA 95945-5089
Phone (530) 271-2282
Other providers in Grass Valley, CA
- Mary Louise Caulfield
- William Franklin Caves IV
- Chad Andrew Cekun
- Elizabeth Cena
- Cep America - Anesthesia PC
- Amber Miranda Cepeda
- Abigail M Cerino
- Hannah Chamberlain
- Sean Chamberlain
- Carol Susan Chambers
All providers in Grass Valley, CA · Anesthesiology 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 Sep 12, 2023. 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.