NPIMap

Organization Active NPI

Hemet Emergency Med Group @ Menifee Hospital

  • Emergency Medicine Physician
  • Sun City, CA
National Provider Identifier
1265620090
Registry record updated Jun 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
HEMET EMERGENCY MED GROUP @ MENIFEE HOSPITAL
Practice address
28400 McCall Blvd
Sun City, CA 92585-9658
Phone
(909) 679-8888
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2009

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

Authorized official

Name
Peter BossNPI 1780637173
Title
President
Phone
(951) 652-2811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

28400 McCall Blvd
Sun City, CA 92585-9658

Mailing address

File 57351
Los Angeles, CA 90074-7351
Phone (800) 819-3982

Other identifiers 2

IdentifierTypeStateIssuer
GR0013771OtherMEDI-CAL
ZZZ30469ZOtherBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

File 57351
Los Angeles, CA 90074

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244246400000",
    "number": "1265620090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57351",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747351",
            "telephone_number": "800-819-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28400 MCCALL BLVD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925859658",
            "telephone_number": "909-679-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET EMERGENCY MED GROUP @ MENIFEE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-06-06",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-652-2811"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0013771",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ30469Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; 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.