Woodland Emergency Physicians Medical Group Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

WOODLAND EMERGENCY PHYSICIANS MEDICAL GROUP INC

Practice address

1325 Cottonwood St
Woodland, CA 95695-5131

Phone

(855) 687-0618

NPI assigned

Apr 17, 2008

Last updated

Apr 6, 2022By 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. Steven P. Maron, M.D.NPI 1821026063

Title

President

Phone

(855) 687-0618

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 89

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.

• Aravind Dasari, M.D.

  • Emergency Medicine Physician
  • Mather, CA
  • NPI 1992921449
  Medicare reassignment Care Compare group NPD
• Gloria Grace Gistand

  • Physician Assistant
  • Vallejo, CA
  • NPI 1417521402
  Medicare reassignment Care Compare group NPD
• Hector Jacobo Lopez, M.D.

  • Family Medicine Physician
  • Willows, CA
  • NPI 1255441515
  Medicare reassignment Care Compare group NPD
• Jaron Duane Ross, M.D.

  • Emergency Medicine Physician
  • Emeryville, CA
  • NPI 1316146129
  Medicare reassignment Care Compare group NPD
• Patricia W Wong, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1295781979
  Medicare reassignment Care Compare group NPD
• Christopher Patrick Henry, MD

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1326087925

  CA

  Medicare reassignment Care Compare group NPD
• Daniel Carter, DO

  • Emergency Medicine Physician
  • Fairfield, CA
  • NPI 1902425713
  Medicare reassignment Care Compare group
• Lifan Fan, MD

  • Emergency Medicine Physician
  • Travis AFB, CA
  • NPI 1639810567
  Medicare reassignment Care Compare group
• Steven Peter Maron, M.D.

  • Emergency Medicine Physician
  • Merced, CA
  • NPI 1821026063
  Medicare reassignment Authorized official
• Thomas Ambrosini, NP

  • Nurse Practitioner
  • Woodland, CA
  • NPI 1114067006

  Emergency Medicine

  Medicare reassignment NPD
• Paul Robin Beatty, MD

  • Personal Emergency Response Attendant
  • Oakdale, CA
  • NPI 1932110160

  Emergency Medicine

  Medicare reassignment NPD
• Daniel John Bolster, M.D.

  • Emergency Medicine Physician
  • Woodland, CA
  • NPI 1861555732
  Medicare reassignment NPD

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1881868164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "855-687-0618",
            "fax_number": "330-994-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 COTTONWOOD ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956955131",
            "telephone_number": "855-687-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND EMERGENCY PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "MARON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-687-0618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881868164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siu Woon Wong
• Valerie R Wood
• Woodland Chiropractic and Wellness
• Woodland Chiros LLC
• Woodland Dialysis Service LLC (Woodland Dialysis Services)
• Woodland Gardens Senior Living LLC (Woodland Gardens Senior Living)
• Woodland Hearing Aid Services Inc
• Woodland Joint Unified School District
• Woodland Nephrology Med GRP
• Woodland Puzzle Place LLC

• Emergency Medicine Physician in Woodland, CA
• Providers in Woodland, 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 Apr 6, 2022; 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.