Active NPI
Emergency and Acute Care Medical Company- Southwest, LLC
- Emergency Medicine Physician
- San Diego, CA
National Provider Identifier
1275743056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMERGENCY AND ACUTE CARE MEDICAL COMPANY- SOUTHWEST, LLC
- Practice address
- 12230 World Trade Dr Ste 250
San Diego, CA 92128-3799 - Phone
- (858) 759-4765
- Fax
- (858) 201-4987
- NPI assigned
- May 23, 2007
- Last updated
- May 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur L. Gruen, MD
- Title
- Ceo
- Phone
- (858) 759-4765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
12230 World Trade Dr Ste 250
San Diego, CA 92128-3799
Mailing address
12230 World Trade Dr Ste 250
San Diego, CA 92128-3799
Phone (858) 759-4765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275743056 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Emergency and Acute Care Medical Company- Southwest LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1346290699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526601600000",
"number": "1275743056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12230 WORLD TRADE DR STE 250",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283799",
"telephone_number": "858-759-4765",
"fax_number": "858-201-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 WORLD TRADE DR STE 250",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283799",
"telephone_number": "858-759-4765",
"fax_number": "858-201-4987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY AND ACUTE CARE MEDICAL COMPANY- SOUTHWEST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2018-05-18",
"status": "A",
"authorized_official_last_name": "GRUEN",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "858-759-4765",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275743056",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Emergency & Acute Care Medical Corporation
- Emergency & Acute Care Medical Corporation
- Emergency & Acute Care Medical Corporation
- Emergency and Acute Care Medical Company - Northeast, Inc.
- Emergency and Acute Care Medical Company Northwest
- Emergency and Acute Care Medical Corporation
- Emergency and Acute Care Medical Corporation
- Emergency Care Dynamics Inc
- Emergency Care Dynamics Inc (Urgent Care and More)
- Emergency Medivac Services, LLC (AviaMedix)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.