Cep America - California
Organization Active NPI Emergency Medicine Physician · Joshua Tree, CA
NPI 1326543745 · NPPES record last updated Mar 19, 2020
Key facts
- NPI
- 1326543745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA - CALIFORNIA
- Practice address
- 6601 White Feather Rd
Joshua Tree, CA 92252-6607 - Phone
- (760) 366-6127
- NPI assigned
- Mar 27, 2018
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Chief Operations Officer
- Phone
- (510) 350-2600
Practitioners 45
-
Brooke Atkinson, DO
-
Taylor Nicole Boyd, PHYSICIAN ASSISTANT
-
Anne Castle, P.A.
-
Sarah Chan, PA-C
-
Scott T Cowger, PA-C
-
Cody Donahue, PA-C
-
Pardip Kaur Gill, FNP
-
Marcus Eugene Harris, P.A-C
-
Adam Zvi Kawalek, M.D.
-
Phoudong Keovilay, PA-C
-
Sophia Khalili, PA-C
-
Babak Khazaeni, M.D
-
Anna Kosmalska, DO
-
Heng Lee, D.O
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
6601 White Feather Rd
Joshua Tree, CA 92252-6607
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 851-7411
Other names
- Vituity
Other providers in Joshua Tree, CA
- Taylor Hannah Brown
- Brenda Campa
- Jillian Cardona Vera Valencia
- Estefani Carlos Rangel
- Brent Christopher Carlson
- Yin M Chien
- Jae Kul Chung
- Haylie Cole
- Elizabeth Ann Colucci
- Elexus Monique Constantino
All providers in Joshua Tree, 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.