NPIMap

Individual provider Active NPI

Christopher Peabody, MD, MPH

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1427317486
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A121079 Issued in CA
Practice address
1200 North State Street Room 1011
Los Angeles, CA 90039
Phone
(323) 226-6667
NPI assigned
May 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A121079 CA Primary

Addresses

Primary practice location

1200 North State Street Room 1011
Los Angeles, CA 90039

Mailing address

1200 North State Street, Room 1011
Los Angeles, CA 90039
Phone (323) 226-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708000044 CA Practitioner - Emergency Medicine 7214152297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A121079CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Emergency Medicine CurrentSince Jun 30, 2014 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Alameda Health System CurrentSince Jan 1, 2015 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 30, 2014 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Alameda Health System CurrentSince Jan 1, 2015 Accepting new patients
Usc Care Medical Group, Inc Past Accepting new patients
Los Angeles County, University of Southern California Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1427317486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NORTH STATE STREET, ROOM 1011",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90039",
            "telephone_number": "323-226-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTH STATE STREET ROOM 1011",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90039",
            "telephone_number": "323-226-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A121079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.