Provider Type Icon

CHASE DENNIS EMERGENCY MEDICAL GROUP INC NPI 1033152350


NPI Information

NPI: 1033152350
Provider Name: CHASE DENNIS EMERGENCY MEDICAL GROUP INC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1165 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405
Phone: (925) 924-1600
Get Directions

CHASE DENNIS EMERGENCY MEDICAL GROUP INC is an emergency medicine in Santa Rosa, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CHASE DENNIS EMERGENCY MEDICAL GROUP INC NPI is 1033152350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1165 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405-801
Phone: (925) 924-1600

The provider's authorized official is Kristopher M Smith .
The authorized official title is Cfo and has the following contact phone number (925) 924-1600.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 10/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3363LP2300XNurse PractitionerPrimary CareNo
4207Q00000XFamily MedicineNo
5207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ30723ZMEDICARE PINCALIFORNIA
2DC2287OTHERCALIFORNIAMEDICARE RR
3114685MEDICARE PINARIZONA
4CN2451OTHERCALIFORNIAMEDICARE RR
5ZZZ29771ZMEDICARE PINCALIFORNIA
6DD4942OTHERCALIFORNIAMEDICARE RR
7ZZZ31241ZMEDICARE PINCALIFORNIA
8Z84442MEDICARE PINARIZONA
9ZZZ31252ZMEDICARE PINCALIFORNIA
10ZZZ30826ZMEDICARE PINCALIFORNIA
11DC7119OTHERARIZONAMEDICARE RR
12ZZZ30754ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.