TERRACE EMERGENCY PHYSICIANS MEDICAL GROUP, INC. (NPI# 1003195710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003195710 |
| Entity Type | Organization |
| Organization Name | TERRACE EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Practice Address |
9449 San Fernando Rd Sun Valley CA 91352-1421 |
| Mailing Address |
Po Box 219 San Dimas CA 91773-0219 |
| Practice Telephone | 8182522184 |
| Mailing Telephone | 6264470296 |
| Mailing Fax Number | 6264476057 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | STEVEN P. MARON (PRESIDENT) |
| Authorized Official Telephone | 6264470296 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1003195710 | 05 |
| Street Address |
9449 SAN FERNANDO RD |
| City | SUN VALLEY |
| State | CA |
| Zip Code | 91352-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417993890 | Patience B Keregha | Specialist | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2006-06-22 |
| 1265909527 | Jeffrey L Mcbath | Pharmacist | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2018-10-25 |
| 1417434366 | Danielle Alessandra Bublitz | Dietitian, Registered | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2018-07-24 |
| 1811369721 | Pacifica Radiology Inc | Radiology | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2015-10-30 |
| 1538507710 | Apollomed Care Clinic, A Professional Corporation | Internal Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2013-06-10 |
| 1790128114 | Apollomed Emergency Medicine Management Services Inc | Hospitalist | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2013-04-16 |
| 1093016305 | Stephen E. Hiller | Emergency Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2010-11-03 |
| 1447393434 | Anthony J Francis | Emergency Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2007-02-15 |
| 1639244064 | Myra C. Martin, M.d., Apc | Anesthesiology | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2006-11-21 |
| 1770508848 | Joseph N Thomas | Emergency Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2006-07-12 |
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|---|---|---|---|---|
| 1457908618 | The Teen Project, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8142 Sunland Blvd., Sun Valley, CA 91352 | 2019-08-22 |
| 1831638717 | Sonia Canton | Counselor | 8140 Sunland Blvd., Sun Valley, CA 91352 | 2017-02-13 |
| 1023480613 | Hhs Homecare, Inc | Home Health | 10875 La Tuna Canyon Rd, Sun Valley, CA 91352 | 2015-10-22 |
| 1407259724 | Irina Yerkanyan | Driver | 8258 Sunland Blvd, Sun Valley, CA 91352 | 2014-09-30 |
| 1013199264 | Northeast Valley Health Corporation | Clinic/Center | 7223 N. Fair Avenue, Sun Valley, CA 91352 | 2007-11-29 |
| 1528117413 | Kerri Davidove Lee | Optometrist | 8447 Laurel Canyon Blvd, Sun Valley, CA 91352 | 2007-01-09 |
| 1043394513 | Emma P Aralar | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8983 Telfair Avenue, Sun Valley, CA 91352 | 2006-10-24 |
| 1861402935 | Pacifica of The Valley Corporation | General Acute Care Hospital | 9449 San Fernando Road, Sun Valley, CA 91352 | 2006-08-09 |
| 1003415142 | Michelle Marie Villarreal | Technician | 8142 Sunland Blvd, Sun Valley, CA 91352 | 2020-10-20 |
| 1891394946 | Sharon Stasha Kukkiriza | Technician | 8142 Sunland Blvd, Sun Valley, CA 91352 | 2020-10-20 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093016305 | Stephen E. Hiller | Emergency Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2010-11-03 |
| 1447393434 | Anthony J Francis | Emergency Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2007-02-15 |
| 1770508848 | Joseph N Thomas | Emergency Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2006-07-12 |
| 1780609826 | Paul; W Morris | Emergency Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2006-07-12 |
| 1881626380 | Walden Medical Group, Inc | Emergency Medicine | 9449 San Fernando Rd, Sun Valley, CA 91352-1421 | 2006-07-07 |
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| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
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| City | SUN VALLEY |
| Zip Code | 91352 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.