Organization Active NPI

Emere Medical Professional Corporation

Doing business as Emere-San Mateo

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Mateo, CA
National Provider Identifier
1699111617
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
EMERE MEDICAL PROFESSIONAL CORPORATION
Doing business as
Emere-San Mateo
Practice address
101 S San Mateo Dr
Suite 202
San Mateo, CA 94401-3819
Phone
(855) 433-5633
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Maryam Rahimi, DO
Title
Medical Director / Physician
Phone
(855) 433-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X CA Primary

Addresses

Primary practice location

101 S San Mateo Dr
Suite 202
San Mateo, CA 94401-3819

Mailing address

801 N 500 W
Suite 100
Bountiful, UT 84010-6829
Phone (801) 617-2100

Other names 1

  • Emere-San Mateo Doing business as

National Provider Directory

National Provider Directory

Locations

801 N 500 W
Ste 100
Bountiful, UT 84010

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1699111617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N 500 W",
            "address_2": "SUITE 100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106829",
            "telephone_number": "801-617-2100",
            "fax_number": "801-208-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 202",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "855-433-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERE MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / PHYSICIAN",
        "authorized_official_telephone_number": "855-433-5633",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emere-San Mateo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.