Cedric B Emery, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G13489 Issued in CA

Practice address

2807 Loma Vista Rd
Suite 101
Ventura, CA 93003-1500

Phone

(805) 653-1533

Fax

(805) 653-1536

NPI assigned

Nov 2, 2005

Last updated

Jun 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 24, 2021 through Sep 24, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Ventura County Urology Medical Group, Inc

  • Urology Physician
  • Ventura, CA
  • NPI 1598704421
  Authorized official Same address or phone

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1457342164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 LOMA VISTA RD",
            "address_2": "SUITE 101",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031500",
            "telephone_number": "805-653-1533",
            "fax_number": "805-653-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 LOMA VISTA RD",
            "address_2": "SUITE 101",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031500",
            "telephone_number": "805-653-1533",
            "fax_number": "805-653-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "CEDRIC",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G13489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G13489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Embrace Yourself Psychotherapy (Embrace Yourself Therapy)
• Embrace Yourself Psychotherapy (Embrace Yourself Therapy)
• Nadia Emen, D.C.
• Diane Marie Emerick, PHN
• Katherine J Emerick, PH.D.
• Megan Emery, MA, LMFT, LPCC, LPC
• Emily Ackerman MD Inc a Medical Corporation
• Empire Therapeutic & Creative Services
• Mercell Enayat, DMD
• Brianne Enegren, PA-C

• Urology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.