Sutter Emergency Medical Associates

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C42247 Issued in CA

Legal business name

SUTTER EMERGENCY MEDICAL ASSOCIATES

Practice address

1700 Coffee Road
Modesto, CA 95355-2803

Phone

(209) 526-4500

NPI assigned

Sep 29, 2006

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Kelly Nations, MD

Title

President

Phone

(888) 556-5621

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1588756258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12020",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926852020",
            "telephone_number": "888-556-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COFFEE ROAD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552803",
            "telephone_number": "209-526-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER EMERGENCY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "NATIONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-556-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C42247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081865",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sutter Central Valley Hospitals (Visiting Nurse Association of the Central Valley)
• Sutter Central Valley Hospitals (Memorial Medical Center Opt Pharmacy)
• Sutter Central Valley Hospitals (Memorial Medical Center)
• Sutter Central Valley Hospitals (Memorial Medical Center)
• Sutter Central Valley Hospitals (Memorial Emergency Physicians Associates Medical Group)
• Sutter Gould Medical Foundation (Briggsmore Specialty Center)
• Sutter Gould Medical Foundation (SGMF Independent Clinical Laboratory)
• Sutter Gould Medical Foundation (Dale Road Care Center)
• Sutter Gould Medical Foundation (Coffee Road Care Center)
• Sutter Gould Medical Foundation (Briggsmore Specialty Center Ambulatory Surgical Center)

• Emergency Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.