Active NPI
Feyi Nneka Emembolu, M.D.
- Emergency Medicine Physician
- Palmdale, CA
National Provider Identifier
1366690018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125.052904
- Practice address
- 38600 Medical Center Dr
Palmdale, CA 93551-4483 - Phone
- (661) 382-6000
- NPI assigned
- Sep 7, 2008
- Last updated
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A111176 | CA | |
| Emergency Medicine Physician | 207P00000X | 125.052904 | IL | Primary |
Addresses
Primary practice location
38600 Medical Center Dr
Palmdale, CA 93551-4483
Mailing address
PO Box 40050
Studio City, CA 91614-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.052904 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Presbyterian Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Sherman Oaks Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Glendale Emergency Medical Associates, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1588606834
-
- Emergency Medicine Physician
- Sherman Oaks, CA
- NPI 1518904150
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1972826931
-
- Emergency Medicine Physician
- La Palma, CA
- NPI 1508114711
-
- Emergency Medicine Physician
- Oceanside, CA
- NPI 1225499015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1366690018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40050",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916144050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38600 MEDICAL CENTER DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514483",
"telephone_number": "661-382-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMEMBOLU",
"first_name": "FEYI",
"middle_name": "NNEKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-07",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A111176",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125.052904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.