Organization Active NPI

Emergency Physicians Industrial Medical Associates, Inc.

  • Specialist
  • Santa Maria, CA
National Provider Identifier
1700157641
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EMERGENCY PHYSICIANS INDUSTRIAL MEDICAL ASSOCIATES, INC.
Doing business as
Industrial Medical Group
Practice address
3070 Skyway Dr
Suite 106
Santa Maria, CA 93455-1829
Phone
(805) 922-8282
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Dr. Paul Christensen, M.D.
Title
President
Phone
(805) 922-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3070 Skyway Dr
Suite 106
Santa Maria, CA 93455-1829

Mailing address

3070 Skyway Dr
Suite 106
Santa Maria, CA 93455-1829
Phone (805) 922-8282

Other identifiers 1

IdentifierTypeStateIssuer
A67623OtherCACALIFORNIA STATE MEDICAL BOARD

Other names 1

  • Industrial Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1700157641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 SKYWAY DR",
            "address_2": "SUITE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551829",
            "telephone_number": "805-922-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 SKYWAY DR",
            "address_2": "SUITE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551829",
            "telephone_number": "805-922-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS INDUSTRIAL MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-922-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE MEDICAL BOARD",
            "identifier": "A67623",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Industrial Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.