Cep America LLC

Key facts

NPI

1306891908

Entity type

Organization (NPI type 2)

Primary specialty

Emergency Medicine Physician 207P00000X

Legal business name

CEP AMERICA LLC

Practice address

14502 W Meeker Blvd
Sun City West, AZ 85375-5282

Phone

(623) 214-4000

NPI assigned

May 23, 2006

Organization subpart

Yes

Parent organization (as reported)

CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP

Authorized official

Name

Theophile Koury, MD

Title

MD Coo

Phone

(510) 350-2600

National Provider Directory

Part of

California Emergency Sa

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2013.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1306891908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 920",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600",
            "fax_number": "510-879-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755282",
            "telephone_number": "623-214-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEP AMERICA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "THEOPHILE",
        "authorized_official_title_or_position": "MD COO",
        "authorized_official_telephone_number": "510-350-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089337",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

• Nancy Louise Catalan, PHARMD
• Center for Orthopedic Research and Education
• Center for Orthopedic Research and Education Inc
• Center for Orthopedic Research and Education LLC
• Center for Orthopedic Research and Education, Inc
• Cep America- Arizona, PC
• Tisha Kaur Chadha, MSN-ED, APRN, FNP-C
• Dara L Chang, FNP-C, AG-ACNP-BC
• Elizabeth Anne Chappe, MD
• Jerikai Chargualaf, RBT

All providers in Sun City West, AZ · Emergency Medicine Physician in Arizona