Cep America - California
Organization Active NPI Emergency Medicine Physician · Carmichael, CA
NPI 1780938704 · NPPES record last updated Mar 23, 2020
Key facts
- NPI
- 1780938704
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA - CALIFORNIA
- Practice address
- 6501 Coyle Ave
Carmichael, CA 95608-0306 - Phone
- (916) 537-5000
- NPI assigned
- Oct 29, 2012
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Chief Operations Officer
- Phone
- (510) 350-2600
Practitioners 62
-
Thomas Ambrosini, NP
-
Steven Jeffrey Axten, PA-C
-
Hannah J Bezanson, RN, MSN, NP-C
-
Tawny N Blankinship, PA-C
-
Mari Lynn Cosentino, M.D.
-
Paul Hacker, PA-C
-
Noel Hastings, MD
-
Carisa Debbie Hotari, PA-C
-
Rochelle Jagdeo, M.D.
-
Kendrick Millard Johnson, M.D.
-
Joy Kay, M.D.
-
Steven Mark Kushel, M.D.
-
Richard Clive Lynton, M.D.
-
Miles McDonough, MD
-
Wallace Blake McKinney, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000520 | CA | Part B Supplier - Clinic/Group Practice | 6103739131 |
Receives reassigned benefits from 3,525 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
6501 Coyle Ave
Carmichael, CA 95608-0306
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
Other names
- Vituity
Other providers in Carmichael, CA
- Joan Cathcart
- Alexandra Caudillo
- Tara Cederlind
- Ana Ceja
- Djoanna Castillo Cendana
- Cep America - Psychiatry PC
- Cep America - Psychiatry PC
- Timothy Cereceres
- Tatiana Chadid Santamaria
- Pamela Champe
All providers in Carmichael, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 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.