Provider Type Icon

BURBANK EMERGENCY MEDICAL GROUP INC NPI 1689636730


NPI Information

NPI: 1689636730
Provider Name: BURBANK EMERGENCY MEDICAL GROUP INC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 05D0971295

Address:
501 S BUENA VISTA ST
EM DEPT
BURBANK, CA
ZIP 91505
Phone: (818) 843-5111
Get Directions

BURBANK EMERGENCY MEDICAL GROUP INC is an emergency medicine in Burbank, 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. BURBANK EMERGENCY MEDICAL GROUP INC NPI is 1689636730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 S BUENA VISTA ST
EM DEPT
BURBANK, CA
ZIP 91505-809
Phone: (818) 843-5111

The provider's authorized official is Philip Simon Schwarzman .
The authorized official title is Emergency Dept. Medical Director and has the following contact phone number (818) 848-0552.

The CLIA number assigned to this NPI record is 05D0971295 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 1/29/2013.


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
1207P00000XEmergency 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
12956715OTHERMEDI CAL AEVS
2ZZZ72788ZOTHERBLUE SHIELD
305D0971295OTHERCLIA WAIVER
4=========OTHERCHAMPUS
5ZZZ72788ZOTHERMEDI CAL
6HW977MEDICARE ID-TYPE UNSPECIFIED
7C41068OTHERRAIL ROAD MEDICARE
8N49OTHERCALOPTIMA

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.