NPIMap

Organization Active NPI

Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • Vacaville, CA
National Provider Identifier
1508818774
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENCY AND ACUTE CARE MEDICAL CORPORATION
Practice address
1000 Nut Tree Rd
Vacaville, CA 95687-4100
Phone
(858) 759-4765
Fax
(858) 759-8194
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Arthur L Gruen, MD
Title
President Ceo
Phone
(858) 759-4765

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Nut Tree Rd
Vacaville, CA 95687-4100

Mailing address

PO Box 81243
San Diego, CA 92138-1243
Phone (858) 759-4765

Other identifiers 1

IdentifierTypeStateIssuer
GR0058099MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Emergency Acute Care Medical Corporation18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1508818774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81243",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921381243",
            "telephone_number": "858-759-4765",
            "fax_number": "858-759-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874100",
            "telephone_number": "858-759-4765",
            "fax_number": "858-759-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY AND ACUTE CARE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "GRUEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "858-759-4765",
        "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": "GR0058099",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.