Organization Active NPI

Jolon Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • King City, CA
National Provider Identifier
1831373950
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
JOLON EMERGENCY PHYSICIANS, A MEDICAL CORPORATION
Practice address
300 Canal St
King City, CA 93930-3431
Phone
(831) 385-6000
NPI assigned
Dec 26, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Charles T Mitchell, M.D.
Title
President
Phone
(954) 838-2371

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

300 Canal St
King City, CA 93930-3431

Mailing address

13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (954) 838-2371

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2019.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1831373950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CANAL ST",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303431",
            "telephone_number": "831-385-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLON EMERGENCY PHYSICIANS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-838-2371",
        "authorized_official_name_prefix": "Dr.",
        "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 King City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.