Active NPI
California Em-I Medical Services, a Medical Corporation
- Emergency Medicine Physician
- San Andreas, CA
National Provider Identifier
1881987360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION
- Practice address
- 768 Mountain Ranch Rd
San Andreas, CA 95249-9707 - Phone
- (469) 401-2386
- NPI assigned
- May 17, 2011
- Last updated
- Apr 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angel L Iscovich, MD
- Title
- President
- Phone
- (469) 401-2386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Mailing address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (469) 401-2386
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1205884517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429056000000",
"number": "1881987360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401374",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 MOUNTAIN RANCH RD",
"city": "SAN ANDREAS",
"state": "CA",
"postal_code": "952499707",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-17",
"last_updated": "2015-04-15",
"status": "A",
"authorized_official_last_name": "ISCOVICH",
"authorized_official_first_name": "ANGEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Andreas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.