Cep America- Arizona, PC
Organization Active NPI Emergency Medicine Physician · Chandler, AZ
NPI 1780202804 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1780202804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA- ARIZONA, PC
- Practice address
- 1405 S. Alma School Rd.
Chandler, AZ 85286 - Phone
- (480) 256-7000
- NPI assigned
- Jul 7, 2020
- Organization subpart
- No
Authorized official
- Name
- David Birdsall
- Title
- Vice President of Operations
- Phone
- (510) 350-2638
Other NPIs on the same Medicare enrollment 5
Practitioners 306
-
Adam Calvin Blystra, D.O.
-
Tamara A Brown, FNP-C
-
Brian Casillas, MD
-
Darby Shea Cerbo, NP
-
Casey Lane Crandell, M.D.
-
Syna Daudfar, DO
-
Daniel B Dawson, D.O.
-
Brian Christopher Geyer, M.D.
-
Brad V Harrison, MD
-
Luke Gui He, MD
-
Brian Jahnny, D.O.
-
Chad Seymour Lewis, M.D.
-
Mandy Limberg, D.O.
-
Scott David Lopata, M.D
-
Jay McCombs, D.O.
-
William Ray Mostow, M.D.
-
Hites T Patel, M.D
-
Richard Taft Peterson, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121026000403 | AZ | Part B Supplier - Clinic/Group Practice | 1850541970 |
Receives reassigned benefits from 304 practitioners 5 other NPIs on this enrollment Practice locations: Chandler, AZ; Mesa, AZ; Sun City, AZ; Sun City West, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1405 S. Alma School Rd.
Chandler, AZ 85286
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2638
Other providers in Chandler, AZ
- Center for Health & Natural Healing PLLC
- Center for Pain Solutions PLLC
- Shawn Kristian Centers
- Central Arizona Heart Specialists PLC
- Cep America - Intensivists PC
- Darby Shea Cerbo
- Kristin Renee Cerni
- Molly M Cerniglia
- Eric Karl Cerre
- Certified Surgical First Assistant
All providers in Chandler, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.