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

520 West 'I' Street
Los Banos, CA 93635-3419

Phone

(209) 826-0591

NPI assigned

Oct 5, 2006

Last updated

Mar 27, 2008By 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) 556-5619

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1609962695",
    "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": "888-556-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WEST 'I' STREET",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353419",
            "telephone_number": "209-826-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER EMERGENCY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-03-27",
        "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": "888-556-5619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C42247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081864",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Dwele Sullivan I
• Yu Sun
• Surgical Affiliates of California
• Sutter Central Valley Hospitals (Memorial Hospital Los Banos)
• Sutter Central Valley Hospitals (Memorial Hospital Los Banos/Rural Health Clinic)
• Sutter Valley Hospitals (Sutter Los Banos Rural Health Clinic East)
• Sutter Valley Hospitals (Memorial Hospital Los Banos)
• Sutter Valley Hospitals (Memorial Hospital Los Banos/Rural Health Clinic)
• Sutter Valley Hospitals (Sutter Memorial Hospital Los Banos Outpatient Clinic)
• Christina Michelle Suveges, ASW, PPSC

• Emergency Medicine Physician in Los Banos, CA
• Providers in Los Banos, 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 Mar 27, 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.