NPIMap

Organization Active NPI

Premier Health Partners

  • Emergency Medicine Physician
  • Blythe, CA
National Provider Identifier
1609170232
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A82516 Issued in CA
Legal business name
PREMIER HEALTH PARTNERS
Practice address
250 N 1St St
Blythe, CA 92225-1702
Phone
(310) 488-2830
Fax
(888) 502-9285
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Dr. Anthony Cardillo, M.D.NPI 1861433021
Title
Medical Director
Phone
(310) 488-2830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X A82516 CA Primary

Addresses

Primary practice location

250 N 1St St
Blythe, CA 92225-1702

Mailing address

914 N Glendale Ave
Glendale, CA 91206-2129
Phone (310) 488-2830

Other practice location 1

5189 Hospital Rd
Mariposa, CA 95338-9524
Phone (310) 488-2830

Other practice location 2

9449 San Fernando Rd
Sun Valley, CA 91352-1421
Phone (310) 488-2830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321000157 CA Part B Supplier - Clinic/Group Practice 1759564396 Receives reassigned benefits from 53 practitioners
Practice locations: Blythe, CA; Sun Valley, CA; Mariposa, CA; Barstow, CA

National Provider Directory

National Provider Directory

Locations

914 N Glendale Ave
Glendale, CA 91206
Phone (310) 488-2830

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1609170232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062129",
            "telephone_number": "310-488-2830",
            "fax_number": "888-502-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N 1ST ST",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251702",
            "telephone_number": "310-488-2830",
            "fax_number": "888-502-9285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5189 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Mariposa",
            "state": "CA",
            "postal_code": "953389524",
            "country_code": "US",
            "telephone_number": "310-488-2830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9449 San Fernando Rd",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "CA",
            "postal_code": "913521421",
            "country_code": "US",
            "telephone_number": "310-488-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-488-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A82516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.

Verify at the official NPI Registry.