Pacific Emergency Providers, a Prof. Corp.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PACIFIC EMERGENCY PROVIDERS, A PROF. CORP.

Practice address

4077 Fifth Ave
San Diego, CA 92103-2105

Phone

(619) 686-3800

Fax

(619) 260-7050

NPI assigned

Jun 20, 2006

Last updated

Jun 19, 2023By 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

Jon K. Ludwig, M.D.NPI 1669403911

Title

Owner

Phone

(626) 447-0296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 119

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.

• Sara Amen, MD

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1356091383
  Medicare reassignment Care Compare group NPD
• Christin Rose Bawa, ATC, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1013126044
  Medicare reassignment Care Compare group NPD
• Chad M Bernhardt, MD

  • Emergency Medicine Physician
  • Oceanside, CA
  • NPI 1144433731
  Medicare reassignment Care Compare group NPD
• David Ingram Bruner, MD

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1326138892
  Medicare reassignment Care Compare group NPD
• Benjamin Nathaniel Burgess, MD

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1538780432
  Medicare reassignment Care Compare group NPD
• Marc Aaron Davis, M.D.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1710916283
  Medicare reassignment Care Compare group NPD
• Ashley De Jesus, DNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1184338048
  Medicare reassignment Care Compare group NPD
• Sagar Desai, MD

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1538780127
  Medicare reassignment Care Compare group NPD
• Solomiya Hershfield, MD

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1801425244
  Medicare reassignment Care Compare group NPD
• Alex Zhicong Huang, MD

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1982131892
  Medicare reassignment Care Compare group NPD
• Richard Mark Keedy, F.N.P.

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1265460695
  Medicare reassignment Care Compare group NPD
• Jonathan Young Lee, M.D.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1578591517
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1497790539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920131",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920131",
            "telephone_number": "626-447-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 FIFTH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105",
            "telephone_number": "619-686-3800",
            "fax_number": "619-260-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EMERGENCY PROVIDERS, A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-447-0296",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Psychiatry Corporation
• Pacific Coast Rehabilitation and Pain Management
• Pacific Coast Surgical Group
• Pacific Colllege of Oriental Medicine, Inc
• Pacific Counseling Associates
• Pacific Endocrinology
• Pacific Express Transportation
• Pacific Health Care Systems, Inc. (San Diego Homecare Supplies)
• Pacific Imaging and Treatment
• Pacific Integrative Therapy Inc

• 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 Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.