Ea Health Physicians Medical Group - National LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EA HEALTH PHYSICIANS MEDICAL GROUP - NATIONAL LLC

Practice address

12396 World Trade Dr Ste 303
San Diego, CA 92128-3792

Phone

(858) 759-4765

Fax

(858) 759-8194

NPI assigned

Mar 1, 2012

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arthur L Gruen, M.D.

Title

MD/Owner

Phone

(858) 759-4765

Specialties & licenses 1

Addresses

Locations

Practitioners 8

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.

• Kailas D Dave, MD FAAP

  • Pediatrics Physician
  • Hazleton, PA
  • NPI 1811976327
  NPD (past)
• Mark Christian Domanski, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Fairfax, VA
  • NPI 1992993885
  NPD (past)
• Alicia Anne Frankwitz, D.O.

  • Emergency Medicine Physician
  • Little Falls, MN
  • NPI 1720027303
  NPD (past)
• Amy A Kvidera, MD

  • Family Medicine Physician
  • Saint Peter, MN
  • NPI 1639175896

  Emergency Medicine

  NPD (past)
• JD Labash, DO

  • Internal Medicine Physician
  • Dickinson, ND
  • NPI 1114989175
  NPD (past)
• Gregory L Miller, DO

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1821040783

  Emergency Medicine

  NPD (past)
• Stanley Clark Newhall, MD

  • General Practice Physician
  • Lawrenceville, GA
  • NPI 1295969251

  Emergency Medicine

  NPD (past)
• Traci Lydricka Vaughn, MD

  • Otolaryngology Physician
  • Bastrop, LA
  • NPI 1902840697
  NPD (past)

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1427322981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227477",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752227477",
            "telephone_number": "858-759-4765",
            "fax_number": "858-759-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283792",
            "telephone_number": "858-759-4765",
            "fax_number": "858-759-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA HEALTH PHYSICIANS MEDICAL GROUP - NATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "GRUEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "858-759-4765",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Dzienis, RN
• Jennifer Dziura, NP
• E. Paul Dietsch Hearing AIDS, Inc. (Dietsch's Hearing Aid Center)
• E3 Civic High
• Ea Health Corporation
• Ea Health Physicians Medical Group Texas PA
• Ea Health Virtual on Call Inc
• Ea Health- Texas, PA
• Alisha Eachus
• Karlie Eacock

• Emergency Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.