Cep America - California
Organization Active NPI Emergency Medicine Physician · Redding, CA
NPI 1376604686 · NPPES record last updated Mar 23, 2020
Key facts
- NPI
- 1376604686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA - CALIFORNIA
- Practice address
- 2175 Rosaline Ave
Redding, CA 96001-2509 - Phone
- (530) 225-6000
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Chief Operations Officer
- Phone
- (510) 350-2600
Practitioners 124
-
Matthew Brosseit, M.D.
-
Crystal Anne Brust, PA-C
-
Teresa A Carter, FNP
-
Clarissa Sherrill Chan, PA-C
-
Brian Richard Cory, M.D.
-
Megan Culberson, PA-C
-
Aaron Danielson, M.D.
-
Anamika K. Doma, D.O.
-
Eric Gerdes, D.O.
-
Anita Gertsch, NP
-
Brent Kobe Gordon, M.D.
-
Jeremy Erik Graff, M.D
-
Devan Haney, PA
-
Gregory Thomas Hartt, M.D.
-
Tawnya Irene Hoffman, PA-C
-
Paul Matthew Johnson, M.D.
-
Ravneet Singh Kang, PA-C
-
Vahini L Koka, DO
-
Jesse Graham Livingston, M.D.
-
Hector Jacobo Lopez, M.D.
-
Jasleen Kaur Mann, PA-C
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
2175 Rosaline Ave
Redding, CA 96001-2509
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0098351 | Medicaid | CA |
Other names
- Vituity
Other providers in Redding, CA
- Maria Diaz Ceja
- Montserrat Celalla Castro
- Center for Communication & Swallowing
- Center for Neuropsychology, a Psychological Corporation
- Cep America - Anesthesia PC
- Xochitl Cepeda
- Shelley Cerasaro
- Ernesto Cervantes
- Shenade Cervantes
- Alisha Ann Cetina
All providers in Redding, 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 23, 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.