Covina Emergency Medical Group, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

COVINA EMERGENCY MEDICAL GROUP, INC.

Practice address

210 W San Bernardino Rd
Emergency Dept
Covina, CA 91723-1515

Phone

(626) 331-5534

Fax

(626) 967-5506

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dan Kiss, M.D.NPI 1043349301

Title

Director

Phone

(626) 331-5534

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dan Kiss, M.D.

  • Personal Emergency Response Attendant
  • Covina, CA
  • NPI 1043349301
  Authorized official Same address or phone

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841315587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917230134",
            "telephone_number": "626-331-5534",
            "fax_number": "626-967-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SAN BERNARDINO RD",
            "address_2": "EMERGENCY DEPT",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231515",
            "telephone_number": "626-331-5534",
            "fax_number": "626-967-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINA EMERGENCY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-331-5534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0054210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Covina Cancer Care Medical Center, Inc.
• Covina Care Center, Inc. (Covina Rehabilitation Center)
• Covina Court Senior Living, LLC
• Covina Dermatology Center
• Covina Ear Nose & Throat Medical Group Inc
• Covina Eyecare Optometry Inc (Edwin Wu, O.D.)
• Covina Eyecare Optometry Inc. (Raymond Wu, O.D.)
• Covina Healthcare Inc (Rite Care Pharmacy)
• Covina Hearing Aid Center, Inc
• Covina Medical Supply Inc

• Emergency Medicine Physician in Covina, CA
• Providers in Covina, 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.