California Emergency Physicians Medical Group a Professional Corp
Organization Active NPI Internal Medicine Physician · Redding, CA
NPI 1326601196 · NPPES record last updated Mar 30, 2020
Key facts
- NPI
- 1326601196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP A PROFESSIONAL CORP
- Practice address
- 2120 Benton Dr
Redding, CA 96003-2151 - Phone
- (530) 243-6317
- NPI assigned
- Apr 17, 2019
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, M.D
- Title
- C.O.O
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140227000392 | CA | Part B Supplier - Clinic/Group Practice | 3274763875 |
Receives reassigned benefits from 141 practitioners 44 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glendale, CA; Yuba City, CA; Truckee, CA; Sonora, CA; Millbrae, CA; Los Gatos, CA; Laguna Hills, CA; Fountain Valley, CA… |
National Provider Directory
Locations
2120 Benton Dr
Redding, CA 96003
Phone (530) 243-6317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
2120 Benton Dr
Redding, CA 96003-2151
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
Other providers in Redding, CA
- Calafia Holdings LLC
- Carmela Reyes Caldo
- Cali Primary Mobile Care
- California Accessible Transportation
- California Em-I Medical Services, a Medical Corporation
- California Emergency Physicians Medical Group a Professional Corp
- California Family Medical Group Inc
- California Heritage Youthbuild Academy
- California Heritage Youthbuild Academy
- California Sleep Solutions
All providers in Redding, CA · Internal 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 30, 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.