NPIMap

Organization Active NPI

Valley Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • Mount Shasta, CA
National Provider Identifier
1497849574
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G64122 Issued in CA
Legal business name
VALLEY EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Practice address
914 Pine Street
Mount Shasta, CA 96067-2143
Phone
(530) 926-6111
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Steve P. Maron, MD
Title
President
Phone
(888) 634-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X G64122 CA Primary

Addresses

Primary practice location

914 Pine Street
Mount Shasta, CA 96067-2143

Mailing address

P.O. Box 12259
Westminster, CA 92685-2259
Phone (888) 634-8405

Other identifiers 1

IdentifierTypeStateIssuer
GR0094390MedicaidCA

Other names 1

  • MERCY MT. SHASTA MEDICAL CORPORATION Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1497849574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12259",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926852259",
            "telephone_number": "888-634-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PINE STREET",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672143",
            "telephone_number": "530-926-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EMERGENCY PHYSICIANS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MARON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-634-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G64122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY MT. SHASTA MEDICAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Shasta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.