Cep America - Psychiatry PC
Organization Active NPI Psychiatry Physician · Colton, CA
NPI 1306408000 · NPPES record last updated Jan 2, 2020
Key facts
- NPI
- 1306408000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- CEP AMERICA - PSYCHIATRY PC
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-1000
- NPI assigned
- Jul 2, 2019
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Vice President
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 21
Corporate family (same tax ID) 18
Practitioners 50
-
Jose Luis Aguilar Jr., M.D.
-
Ijeoma Akwarandu, NP
-
Gal Andres, MD
-
Cindy Bui, MD
-
Oluwayemisi Daramola, PMHNP
-
Jeremy Defranco, M.D.
-
Calvin J Flowers, M.D.
-
Skyler Steven Galindo, MSN, FNP, PMHNP-BC
-
Mehar S. Gill, M.D.
-
Keith L Gordon III, M.D.
-
Karl Monte Jacobs, M.D.
-
Erik L Johnson, DO
-
Larry Charles Lawrence, M.D.
-
Gagandeep Mand, MD
-
Gregory Gene McGowan, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160713002860 | CA | Part B Supplier - Clinic/Group Practice | 0244522159 |
Receives reassigned benefits from 208 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sacramento, CA; Salinas, CA; San Francisco, CA; San Mateo, CA; Santa Maria, CA; Walnut Creek, CA; Woodland, CA; Carmichael, CA… |
National Provider Directory
- Tax ID family
- Cep America - Psychiatry PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
Other providers in Colton, CA
- Central Valley Regional Recovery Center
- Cep America
- Cep America
- Cep America - California
- Cep America - Neurology PC
- Cep-America, Osa
- Jaclyn Riana Cerceo
- Luis Cerritos
- Esmeralda Cervantes Croteau
- Wendy Cervantes-Aguirre
All providers in Colton, CA · Psychiatry 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 Jan 2, 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.