Organization Active NPI

MMC Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1942245139
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MMC EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Practice address
505 Plaza Dr
Santa Maria, CA 93454-6907
Phone
(805) 739-3211
Fax
(805) 739-3059
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Todd D Bailey Jr., M.D.
Title
Owner
Phone
(805) 739-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X CA Primary

Addresses

Primary practice location

505 Plaza Dr
Santa Maria, CA 93454-6907

Mailing address

505 Plaza Dr
Santa Maria, CA 93454-6907
Phone (805) 739-3211

Other identifiers 1

IdentifierTypeStateIssuer
GR0054631MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942245139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PLAZA DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546907",
            "telephone_number": "805-739-3211",
            "fax_number": "805-739-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PLAZA DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546907",
            "telephone_number": "805-739-3211",
            "fax_number": "805-739-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC EMERGENCY PHYSICIANS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-739-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0054631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.