Active NPI
Cep America, LLC
- Emergency Medicine Physician
- Nampa, ID
National Provider Identifier
1780104851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CEP AMERICA, LLC
- Practice address
- 4300 E. Flamingo Ave
Nampa, ID 83687-9203 - Phone
- (208) 288-4600
- NPI assigned
- Jun 21, 2017
- 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
- David Birdsall, M.D
- Title
- C.O.O
- Phone
- (510) 350-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
4300 E. Flamingo Ave
Nampa, ID 83687-9203
Mailing address
2100 Powell St
Emeryville, CA 94608-1826
Phone (510) 350-2638
National Provider Directory
National Provider Directory- Tax ID family
- Cep America LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498003200000",
"number": "1780104851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 E. FLAMINGO AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836879203",
"telephone_number": "208-288-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "C.O.O",
"authorized_official_telephone_number": "510-350-2600",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.