NPIMap

Organization Active NPI

Coast Plaza Emergency Physicians Group Inc

  • Emergency Medicine Physician
  • Norwalk, CA
National Provider Identifier
1912308446
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
COAST PLAZA EMERGENCY PHYSICIANS GROUP INC
Practice address
13100 Studebaker Rd
Norwalk, CA 90650-2531
Phone
(562) 868-3751
NPI assigned
Sep 16, 2014
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Dr. Walter Richard Bush Jr., M.D.NPI 1437191566
Title
Medical Director
Phone
(424) 241-1546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

13100 Studebaker Rd
Norwalk, CA 90650-2531

Mailing address

PO Box 80481
City of Industry, CA 91716-8404
Phone (310) 698-5452

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141206000362 CA Part B Supplier - Clinic/Group Practice 7113249947 Receives reassigned benefits from 47 practitioners
Practice locations: Norwalk, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1912308446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80481",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917168404",
            "telephone_number": "310-698-5452",
            "fax_number": "310-379-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 STUDEBAKER RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502531",
            "telephone_number": "562-868-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PLAZA EMERGENCY PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "424-241-1546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.