NPIMap

Organization Active NPI

Cep America - Anesthesia, PC

  • Anesthesiology Physician
  • Walnut Creek, CA
National Provider Identifier
1790401438
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CEP AMERICA - ANESTHESIA, PC
Practice address
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone
(925) 939-3000
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
David Birdsall, M.D
Title
VP and Secretary
Phone
(510) 350-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 350-2600

Other practice location 1

2540 East St
Concord, CA 94520-1906
Phone (925) 682-8200

Other practice location 2

122 La Casa Via Ste 120
Walnut Creek, CA 94598-3019
Phone (925) 941-4058

Other practice location 3

2700 Ygnacio Valley Rd Ste 170
Walnut Creek, CA 94598-3460
Phone (925) 270-2992

Other practice location 4

460 N Wiget Ln # A
Walnut Creek, CA 94598-2408
Phone (925) 378-4949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150115001110 CA Part B Supplier - Clinic/Group Practice 3678897915 Receives reassigned benefits from 822 practitioners
17 other NPIs on this enrollment
Practice locations: Santa Clarita, CA; Redding, CA; Redwood City, CA; Roseville, CA; Sacramento, CA; San Jose, CA; San Ramon, CA; Stockton, CA…

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Cep America - Anesthesia PC36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

2700 Ygnacio Valley Rd
Ste 170
Walnut Creek, CA 94598
Phone (925) 270-2992

Practitioners & affiliated clinicians

Practitioners 1,241

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

View all 1,241

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1790401438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983122",
            "telephone_number": "925-939-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 East St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945201906",
            "country_code": "US",
            "telephone_number": "925-682-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 La Casa Via Ste 120",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983019",
            "country_code": "US",
            "telephone_number": "925-941-4058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Ygnacio Valley Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983460",
            "country_code": "US",
            "telephone_number": "925-270-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 N Wiget Ln # A",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982408",
            "country_code": "US",
            "telephone_number": "925-378-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEP AMERICA - ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP AND SECRETARY",
        "authorized_official_telephone_number": "510-350-2600",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.