Individual provider Active NPI

Joanne Williams, M.D.

  • Emergency Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1508804881
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G51753 Issued in CA
Practice address
15107 Vanowen St
Van Nuys, CA 91405-4542
Phone
(818) 902-2990
Fax
(818) 904-3793
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G51753 CA Primary

Addresses

Primary practice location

15107 Vanowen St
Van Nuys, CA 91405-4542

Mailing address

PO Box 662154
Arcadia, CA 91066-2154
Phone (626) 447-0296

Other identifiers 5

IdentifierTypeStateIssuer
00G517530MedicaidCA
050126CA52073OtherCAVALLEY PRES TRAILBLAZER
00G517530OtherCACALOPTIMA
00G517530OtherCABLUE SHIELD
G51753OtherCABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601001018 CA Practitioner - Emergency Medicine 9931141827 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast Plaza Emergency Physicians Group IncGroup PAC ID 7113249947, 10 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

13100 Studebaker Rd
Norwalk, CA 90650-2531
Phone (562) 868-3751

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G51753CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Plaza Emergency Physicians Group Inc Emergency Medicine CurrentSince Jan 25, 2019 Accepting new patients
Huntington Park Emergency Physicians, Inc Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Redondo Emergency Physicians, Inc. Emergency Medicine CurrentSince Aug 26, 2015 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Feb 4, 2019 Accepting new patients
KND Development 59 , LLC CurrentSince Jun 29, 2019 Accepting new patients
KND Development 59, LLC CurrentSince Jun 29, 2019 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Continuum Medical Associates,a Professional Medical Corporation Emergency Medicine Past Accepting new patients
Southern California Pulmonologists and Intensivists Network Past Accepting new patients
Arcadia Pathology Medical Group Past Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine PastSince Aug 7, 2022 Accepting new patients

Locations

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

3605 Long Beach Blvd
Ste 405
Long Beach, CA 90807
Phone (562) 424-8000

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

111 N Sepulveda Blvd
Ste 210
Manhattan Beach, CA 90266
Phone (310) 714-7852

13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945

16453 Colorado Ave
Paramount, CA 90723
Phone (562) 408-7427

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855

Organizations & group practices 11

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1508804881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662154",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910662154",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054542",
            "telephone_number": "818-902-2990",
            "fax_number": "818-904-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G51753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G517530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY PRES TRAILBLAZER",
            "identifier": "050126CA52073",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00G517530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G517530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G51753",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.