Cep America - California
Organization Active NPI Emergency Medicine Physician · Colton, CA
NPI 1306899166 · NPPES record last updated Mar 19, 2020
Key facts
- NPI
- 1306899166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA - CALIFORNIA
- Practice address
- 400 North Pepper Avenue
Colton, CA 92324-1819 - Phone
- (909) 580-1400
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Chief Operations Officer
- Phone
- (510) 350-2600
Practitioners 213
-
Jeremy James Ah Sue, PA-C
-
Neela Akbar, PA-C
-
Katherine Ann Alexander, FNP-C
-
Karrar H. Ali, D.O.
-
Juan Antonio Alvarez, P.A.
-
Jarred Anderson, DO
-
Naomi Kamil Bjornstad, PA-C
-
Harold Michael Boulton, M.D.
-
Davindeep Brar, MD
-
Brent A Butcher, MD
-
Deborah Ann Campbell, FNP
-
Emmanuel Sanchez Cardenas, FNP-C
-
William S. Clark, DO
-
Ivan Mark Bulahan Cometa, M.D.
-
A Alex Davila, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000520 | CA | Part B Supplier - Clinic/Group Practice | 6103739131 |
Receives reassigned benefits from 3,525 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
400 North Pepper Avenue
Colton, CA 92324-1819
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR001302K | Medicaid | CA |
Other names
- Vituity
Other providers in Colton, CA
- Jennifer Ledezma Ceniceros
- Sheila M Centino
- Central Valley Regional Recovery Center
- Cep America
- Cep America
- Cep America - Neurology PC
- Cep America - Psychiatry PC
- Cep-America, Osa
- Jaclyn Riana Cerceo
- Luis Cerritos
All providers in Colton, CA · Emergency Medicine 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 Mar 19, 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.