Active NPI
Cep America - Auc PC
- Family Medicine Physician
- Porterville, CA
National Provider Identifier
1508219882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CEP AMERICA - AUC PC
- Practice address
- 263 Pearson Dr
Suite 100
Porterville, CA 93257-3333 - Phone
- (559) 791-3907
- NPI assigned
- Jul 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Birdsall, MD
- Title
- Chief Operations Officer
- Phone
- (510) 350-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
263 Pearson Dr
Suite 100
Porterville, CA 93257-3333
Mailing address
2100 Powell St Ste 900
Emeryville, CA 94608-1844
Phone (510) 350-2680
Other names 1
- Vituity
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141201002085 | CA | Part B Supplier - Clinic/Group Practice | 9537481692 |
Receives reassigned benefits from 64 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Walnut Creek, CA; San Ramon, CA; Mission Viejo, CA |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Apple Valley, CA
- NPI 1124062039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518652800000",
"number": "1508219882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844",
"telephone_number": "510-350-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 PEARSON DR",
"address_2": "SUITE 100",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573333",
"telephone_number": "559-791-3907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA - AUC PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-21",
"last_updated": "2018-02-15",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "510-350-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vituity",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.