Active NPI
Cep America - California
- Emergency Medicine Physician
- San Bernardino, CA
National Provider Identifier
1508811035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CEP AMERICA - CALIFORNIA
- Practice address
- 2101 N. Waterman Avenue
San Bernardino, CA 92404-4855 - Phone
- (909) 883-8711
- NPI assigned
- May 23, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
2101 N. Waterman Avenue
San Bernardino, CA 92404-4855
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0013020 | Medicaid | CA |
Other names 1
- Vituity
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Pomona, CA
- NPI 1861981417
-
- Emergency Medicine Physician
- Palm Springs, CA
- NPI 1396788469
-
- Emergency Medicine Physician
- Lake Arrowhead, CA
- NPI 1184660318
-
- Emergency Medicine Physician
- Colton, CA
- NPI 1336409291
-
- Physician Assistant
- Concord, CA
- NPI 1003470931
-
- Emergency Medicine Physician
- San Bernardino, CA
- NPI 1619152253
-
- Physician Assistant
- San Bernardino, CA
- NPI 1578233037
-
- Physician Assistant
- San Bernardino, CA
- NPI 1932700200
-
- Physician Assistant
- San Bernardino, CA
- NPI 1346859535
-
- Physician Assistant
- Mission Hills, CA
- NPI 1215429733
-
- Emergency Medicine Physician
- Walnut Creek, CA
- NPI 1124288238
-
- Emergency Medicine Physician
- Loma Linda, CA
- NPI 1619140712
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": "1585008000000",
"number": "1508811035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-350-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N. WATERMAN AVENUE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044855",
"telephone_number": "909-883-8711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA - CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"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": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0013020",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vituity",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vituity",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
- Central Neighborhood Health Foundation - Base Line San Bernardino
- Central Neighborhood Health Foundation - Highland
- Central Occupational Medicine Providers - Ontario, a Medical Corporati
- Centre for Plastic Surgery
- Cep America - California
- Cep America - Neurology PC
- James Earl Cephas, M.A
- Cesar Ernesto Cerda
- Vanessa Cereceres
- Jodi Cerney
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.