Donald M Ehman M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A17408 Issued in CA

Legal business name

DONALD M EHMAN M.D. INC

Practice address

197 W Legion Rd Ste 300
Brawley, CA 92227-7728

Phone

(760) 344-7750

Fax

(760) 344-1410

NPI assigned

Jan 3, 2007

Last updated

Aug 22, 2020By 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

Mr. Thomas Thetford

Title

Cfo, Chief Financial Officer

Phone

(760) 344-7750

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Joseph S Freitas Jr., M.D

  • Specialist
  • Brawley, CA
  • NPI 1265528871
  NPD (past)
• George H Small, M.D

  • Specialist
  • San Bernardino, CA
  • NPI 1215022736
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447317797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922271300",
            "telephone_number": "760-344-7750",
            "fax_number": "760-344-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 W LEGION RD STE 300",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277728",
            "telephone_number": "760-344-7750",
            "fax_number": "760-344-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD M EHMAN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THETFORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "760-344-7750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A17408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ77193Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rachael Deann Donahue, PA
• Dr Ted Y Fisher a Professional Corporation (Desert Vein Clinic ASC)
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• Irene Gomez Drye
• Ana Gabriela Duarte, MSN, APRN, FNP-C
• Nora Mattea Mehlman Dumont, MD

• Specialist in Brawley, CA
• Providers in Brawley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.