NPIMap

Organization Active NPI

Emergency Medicine Specialists of Orange County

  • Emergency Medicine Physician
  • Orange, CA
National Provider Identifier
1740214733
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENCY MEDICINE SPECIALISTS OF ORANGE COUNTY
Practice address
1100 West Stewart Dr
Orange, CA 92868-3849
Phone
(714) 633-9111
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Matthew Mullarky, MDNPI 1639124811
Title
Managing Partner
Phone
(714) 543-8911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1100 West Stewart Dr
Orange, CA 92868-3849

Mailing address

1310 W Stewart Dr Ste 212
Orange, CA 92868-3837
Phone (714) 543-8911

Other identifiers 1

IdentifierTypeStateIssuer
GR0044120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000695 CA Part B Supplier - Clinic/Group Practice 0840185005 Receives reassigned benefits from 138 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

1100 W Stewart Dr
Ste 755
Orange, CA 92868

1201 W La Veta Ave
Ste 755
Orange, CA 92868

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

Practitioners & affiliated clinicians

Practitioners 190

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 190

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1740214733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683837",
            "telephone_number": "714-543-8911",
            "fax_number": "714-543-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WEST STEWART DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683849",
            "telephone_number": "714-633-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICINE SPECIALISTS OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "MULLARKY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "714-543-8911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0044120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.