CALIFORNIA EMERGENCY PHYSICIAN MEDICAL GROUP – NPI #1962791293
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CALIFORNIA EMERGENCY PHYSICIAN MEDICAL GROUP is a provider located in WALNUT CREEK, CA. NPPES has assigned the NPI number 1962791293 to CALIFORNIA EMERGENCY PHYSICIAN MEDICAL GROUP on April 07, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 13 years ago on Aug 19, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALIFORNIA EMERGENCY PHYSICIAN MEDICAL GROUP below.

NPI Profile for
CALIFORNIA EMERGENCY PHYSICIAN MEDICAL GROUP

NPI Number
1962791293
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALIFORNIA EMERGENCY PHYSICIAN MEDICAL GROUP
Primary location
1601 YGNACIO VALLEY RD
WALNUT CREEK, CA 94598-3122
Phone: (925) 947-5399 Fax:
Mailing address
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone: (510) 350-2600 Fax:
Organization Subpart
No
Authorized Official
THEOPHILE KOURY
COO
Phone: (510) 350-2600
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.