Active NPI
Cep America LLC
- Emergency Medicine Physician
- Sun City, AZ
National Provider Identifier
1497700090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CEP AMERICA LLC
- Practice address
- 10401 W Thunderbird Blvd
Sun City, AZ 85351-3004 - Phone
- (623) 977-7211
- NPI assigned
- May 23, 2006
- Last updated
- Aug 5, 2013
- Organization subpart
- Yes
- Parent organization
- CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theophile Koury, M.D
- Title
- M.D Coo
- Phone
- (510) 350-2600
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Mailing address
2100 Powell St
Ste 900
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089337 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Part of
- Ca Emergency San Gorgon
Practitioners & 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
- Walnut Creek, CA
- NPI 1568483691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1497700090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600",
"fax_number": "510-879-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 W THUNDERBIRD BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513004",
"telephone_number": "623-977-7211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP",
"enumeration_date": "2006-05-23",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "KOURY",
"authorized_official_first_name": "THEOPHILE",
"authorized_official_title_or_position": "M.D COO",
"authorized_official_telephone_number": "510-350-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089337",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
- Center for Orthopedic Research and Education LLC (The CORE Institute)
- Center for Orthopedic Research and Education, LLC (The Core Institute)
- Centerpoint Physical Medicine and Rehabilitation, PLLC
- Centerwell Senior Primary Care Az PC (CenterWell Senior Primary Care-Sun City)
- Cep America Arizona PC
- Cep America- Arizona, PC
- Cep America-Arizona, PC (Vituity)
- Cep America-Arizona, PC (Vituity)
- Manpreet Kaur Chadha, MD
- Anita Lois Chapman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.