Glenn Emergency Physicians Medical Group, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

GLENN EMERGENCY PHYSICIANS MEDICAL GROUP, INC.

Practice address

1133 W Sycamore St
Willows, CA 95988-2601

Phone

(530) 934-1840

Fax

(530) 934-1829

NPI assigned

Aug 30, 2006

Last updated

Jul 21, 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

Steven P. Maron, M.D.NPI 1821026063

Title

Owner

Phone

(925) 482-2811

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.

• Steven Peter Maron, M.D.

  • Emergency Medicine Physician
  • Merced, CA
  • NPI 1821026063
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962512384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661972",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661972",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W SYCAMORE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882601",
            "telephone_number": "530-934-1840",
            "fax_number": "530-934-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN EMERGENCY PHYSICIANS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-482-2811",
        "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": "GR0100490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Gardner-Thompson, PPSC
• Jared Daniel Garrison, D.O.
• Shannon Nicole Gaylord, MA,CCC-SLP
• Amanpreet Kaur Gill
• Glenn County Joint
• Glenn Medical Center, LLC (Glenn Medical Center)
• Glenn Medical Center, LLC
• Glenn Medical Center, LLC (Glenn Medical Rural Health Clinic)
• Glenn Medical Center, LLC (Glenn Medical Center Family Medical Center)
• Glenn Medical Center, LLC

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