Organization Active NPI

South Bay Emergency Medical Associates

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1982650271
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH BAY EMERGENCY MEDICAL ASSOCIATES
Practice address
2740 M St
Merced, CA 95340-2813
Phone
(209) 384-6480
Fax
(209) 384-6710
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Mark Robert Bell, M.D.
Title
Managing Partner
Phone
(310) 379-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

2740 M St
Merced, CA 95340-2813

Mailing address

111 N Sepulveda Blvd
Suite 210
Manhattan Beach, CA 90266-6861
Phone (310) 379-2134

Other identifiers 1

IdentifierTypeStateIssuer
GR0068932MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1982650271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N SEPULVEDA BLVD",
            "address_2": "SUITE 210",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666861",
            "telephone_number": "310-379-2134",
            "fax_number": "310-379-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402813",
            "telephone_number": "209-384-6480",
            "fax_number": "209-384-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY EMERGENCY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "310-379-2134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068932",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.