Organization Active NPI

Emergency Surgical Associates

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1588849152
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
FNP 28407 Issued in CA
Legal business name
EMERGENCY SURGICAL ASSOCIATES
Practice address
3903 Brockton Ave Ste 1
Riverside, CA 92501-3212
Phone
(909) 226-2332
Fax
(951) 367-7602
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Ancel Rogers, M.D.
Title
Ceo
Phone
(909) 226-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X FNP 28407 CA Primary

Addresses

Primary practice location

3903 Brockton Ave Ste 1
Riverside, CA 92501-3212

Mailing address

PO Box 7438
Laguna Niguel, CA 92607-7438
Phone (909) 226-2332

National Provider Directory

National Provider Directory

Locations

3903 Brockton Ave
Ste 1
Riverside, CA 92501
Phone (800) 321-1593

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1588849152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7438",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077438",
            "telephone_number": "909-226-2332",
            "fax_number": "951-367-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 BROCKTON AVE STE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013212",
            "telephone_number": "909-226-2332",
            "fax_number": "951-367-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ANCEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-226-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "FNP 28407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.