Turlock Emergency Physicians Medical Group Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1546 Issued in CA

Legal business name

TURLOCK EMERGENCY PHYSICIANS MEDICAL GROUP INC

Practice address

825 Delbon Ave
Turlock, CA 95382-2016

Phone

(209) 342-2300

Fax

(209) 524-4240

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Gordon Elwood Alldrin, MD

Title

Medical Director

Phone

(209) 342-2300

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780675017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NORTHSTAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569262",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822016",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURLOCK EMERGENCY PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLDRIN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "ELWOOD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-342-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0045500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ24670Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Turlock Adhc, Inc
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• Turlock Anesthesia Medical Group Inc
• Turlock Dental Care
• Turlock Dialysis Center LLC (Turlock Dialysis Center)
• Turlock Emg & Neurology Inc.
• Turlock Eye Physicians Medical Group
• Turlock Eyecare Optometric Corporation
• Turlock Eyecare Optometric Corporation
• Turlock Family Counseling

• Emergency Medicine Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.