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PHOENIX EMERGENCY PHYSICIANS NPI 1689665317


NPI Information

NPI: 1689665317
Provider Name: PHOENIX EMERGENCY PHYSICIANS
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
13855 E 14TH ST
SAN LEANDRO, CA
ZIP 94578
Phone: (209) 342-2300
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PHOENIX EMERGENCY PHYSICIANS is an emergency medicine in San Leandro, 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. PHOENIX EMERGENCY PHYSICIANS NPI is 1689665317. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13855 E 14TH ST
SAN LEANDRO, CA
ZIP 94578-611
Phone: (209) 342-2300
Fax: (209) 524-4240

The provider's authorized official is Gail Ann Hubbell .
The authorized official title is Medical Director and has the following contact phone number (209) 342-2300.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 8/26/2008.


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 Medicine27483CALIFORNIAYes

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
1ZZZ34666ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2ZZZ34666ZOTHERCALIFORNIABLUE SHIELD
3GR0053820MEDICAIDCALIFORNIA

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: 11/14/2023

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.