Active NPI
Eds-I Practices of California, a Medical Corporation
- Emergency Medicine Physician
- Palmdale, CA
National Provider Identifier
1376969543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EDS-I PRACTICES OF CALIFORNIA, A MEDICAL CORPORATION
- Practice address
- 38600 Medical Center Dr
Palmdale, CA 93551-4483 - Phone
- (661) 382-5000
- NPI assigned
- Mar 12, 2014
- Last updated
- Mar 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angel Iscovich, MD
- Title
- President
- Phone
- (469) 401-2386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
38600 Medical Center Dr
Palmdale, CA 93551-4483
Mailing address
13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331
Phone (469) 401-2386
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1205884517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394582400000",
"number": "1376969543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "SUITE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "469-401-2386"
},
{
"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": "661-382-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDS-I PRACTICES OF CALIFORNIA, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A",
"authorized_official_last_name": "ISCOVICH",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"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 Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.