NPIMap

Organization Active NPI

Emily's Medical Group Apc

  • Family Medicine Physician
  • El Cajon, CA
National Provider Identifier
1265775845
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A105304 Issued in CA
Legal business name
EMILY'S MEDICAL GROUP APC
Practice address
230 Avocado Ave
El Cajon, CA 92020-4604
Phone
(619) 456-9800
Fax
(619) 456-9804
NPI assigned
Apr 1, 2013
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Dr. Nejat Arab Jalisi, MDNPI 1063651552
Title
MD/Owner
Phone
(619) 456-9800

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
Family Medicine Physician 207Q00000X A105304 CA Primary

Addresses

Primary practice location

230 Avocado Ave
El Cajon, CA 92020-4604

Mailing address

230 Avocado Ave
El Cajon, CA 92020-4604
Phone (619) 456-9800

Other identifiers 1

IdentifierTypeStateIssuer
A105304OtherCATHE MEDICAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130611000449 CA Part B Supplier - Clinic/Group Practice 0446499032 Receives reassigned benefits from 1 practitioner
Practice locations: El Cajon, CA

National Provider Directory

National Provider Directory

Locations

1320 E Madison Ave
El Cajon, CA 92021
Phone (619) 456-9800

230 Avocado Ave
El Cajon, CA 92020
Phone (619) 456-9292

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1265775845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-456-9800",
            "fax_number": "619-456-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-456-9800",
            "fax_number": "619-456-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY'S MEDICAL GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "JALISI",
        "authorized_official_first_name": "NEJAT",
        "authorized_official_middle_name": "ARAB",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "619-456-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A105304",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.