Premier Health Partners

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A82516 Issued in CA

Legal business name

PREMIER HEALTH PARTNERS

Practice address

15248 11TH St
Victorville, CA 92395-3704

Phone

(760) 843-6099

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Cardillo, M.D.NPI 1861433021

Title

President

Phone

(310) 488-2830

Specialties & licenses 1

Addresses

Tax ID family

Premier Health Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Health Partners

  • Emergency Medicine Physician
  • Orange, CA
  • NPI 1609231497
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony M Cardillo, MD

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1861433021
  NPD (past) Authorized official

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1962867754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15248 11TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15248 11TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "760-843-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-488-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A82516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deshani Powell
• Power Center Physical Therapy Incorporated
• Joshua Powers
• Leeann Prather
• Precision Orthotics & Prosthetics, Inc
• Premier Healthcare Services, LLC
• Patricia J Prendergast, PHD
• Prescription Station Inc
• La Vonya Sherrie Price, MSW ASW
• Patricia Elvera Prickett, M.A., M.F.T.

• Emergency Medicine Physician in Victorville, CA
• Providers in Victorville, 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 Dec 21, 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.

Verify at the official NPI Registry.