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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.