Cep America - Psychiatry PC
Organization Active NPI Psychiatry Physician · Poway, CA
NPI 1629424916 · NPPES record last updated Jan 2, 2020
Key facts
- NPI
- 1629424916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- CEP AMERICA - PSYCHIATRY PC
- Practice address
- 15615 Pomerado Rd
Poway, CA 92064-2405 - Phone
- (858) 613-4000
- NPI assigned
- May 5, 2016
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Chief Operations Officer
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160713002860 | CA | Part B Supplier - Clinic/Group Practice | 0244522159 |
Receives reassigned benefits from 208 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sacramento, CA; Salinas, CA; San Francisco, CA; San Mateo, CA; Santa Maria, CA; Walnut Creek, CA; Woodland, CA; Carmichael, CA… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
15615 Pomerado Rd
Poway, CA 92064-2405
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
Other names
- Vituity
Other providers in Poway, CA
- Michelle Ceng
- Center for Physicall Therapy & Exercise
- Centre for Health Care
- Cep America - California
- Cep America - Intensivists PC
- Liliana Cerrillo
- Lauren Chamberlin
- Edmond Chan
- Oriana Chan
- Aeria Chang
All providers in Poway, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.