SANTA PAULA EMERGENCY MEDICAL GROUP, INC (NPI# 1780622126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780622126 |
| Entity Type | Organization |
| Organization Name | SANTA PAULA EMERGENCY MEDICAL GROUP, INC |
| Practice Address |
825 N 10th St Santa Paula CA 93060-1309 |
| Practice Telephone | 8055257171 |
| Practice Fax Number | 8055252955 |
| Mailing Telephone | 8055257171 |
| Mailing Fax Number | 8055252955 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. MICHELLE L DAUCETT (OWNER) |
| Authorized Official Telephone | 8055257171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ========= | CA | Allopathic & Osteopathic Physicians |
| Street Address |
825 N 10TH ST |
| City | SANTA PAULA |
| State | CA |
| Zip Code | 93060-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003873035 | Michelle L Daucett | Emergency Medicine | 825 N 10th St, Santa Paula, CA 93060-1309 | 2006-04-26 |
| 1558863910 | Lawrence Steven Noble | Pharmacist | 825 N 10th St, Santa Paula, CA 93060-1309 | 2018-03-01 |
| 1427455427 | Elizabeth Vaccaro | Dietitian, Registered | 825 N 10th St, Santa Paula, CA 93060-1309 | 2014-11-20 |
| 1265745871 | Yasha S Long | Emergency Medicine | 825 N 10th St, Emergency Department, Santa Paula, CA 93060-1309 | 2010-07-23 |
| 1821318684 | Nathan Carroll | Family Medicine | 825 N 10th St, Santa Paula, CA 93060 | 2010-06-03 |
| 1922252816 | Lawrence W. Chespak, M.d., A Prof Corp | Radiology | 825 N 10th St, Santa Paula, CA 93060-1309 | 2008-11-05 |
| 1457511917 | Jordana Dean Kaban | Emergency Medicine | 825 N 10th St, Santa Paula, CA 93060 | 2008-06-09 |
| 1053432369 | Elizabeth Ann Hoffman | Dietitian, Registered | 825 N 10th St, Santa Paula, CA 93060-1309 | 2007-04-03 |
| 1073680336 | Jerold Anthony Noah | Family Medicine | 825 N 10th St, Santa Paula, CA 93060-1309 | 2006-11-29 |
| 1831293273 | Michelle Beth Azimov | Internal Medicine | 825 N 10th St, Santa Paula Hospital, Santa Paula, CA 93060-1309 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460912 | Reward Path Recovery, LLC | Clinic/Center | 525 E. Main St, Santa Paula, CA 93060 | 2018-06-11 |
| 1427305994 | Preetinder Narang | Behavioral Analyst | 216 N 8th Street, Santa Paula, CA 93060 | 2012-08-14 |
| 1346476595 | Rosalia Lopez Castillo | Adult Companion | 227 S. Palm Ave, Santa Paula, CA 93060 | 2009-06-02 |
| 1295936870 | Renee S Lim | Dentist | 125 E Harvard Blvd, #e, Santa Paula, CA 93060 | 2007-05-30 |
| 1225240120 | Richard S. Yoon, Dmd, Inc. | Dentist | 957 Faulkner Rd #104, Santa Paula, CA 93060 | 2007-05-04 |
| 1982723755 | Elizabeth Humphrey | Counselor | 951 East Main St., Santa Paula, CA 93060 | 2007-03-29 |
| 1639298979 | Shelly Brizuela | Marriage & Family Therapist | 951 East Main St, Santa Paula, CA 93060 | 2007-03-28 |
| 1629101472 | Norma J Emery | Registered Nurse | 1360 Say Rd, Santa Paula, CA 93060 | 2007-03-13 |
| 1518021575 | Mark N Sussman | Anesthesiology | 825 North 10th Street, Santa Paula, CA 93060 | 2006-12-21 |
| 1831251735 | Jon L. Schrock | Family Medicine | 845 N.10th St. Ste 1, Santa Paula, CA 93060 | 2006-12-15 |
| Find all providers in zip 93060 | ||||
| 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 |
|---|---|---|---|---|
| 1003873035 | Michelle L Daucett | Emergency Medicine | 825 N 10th St, Santa Paula, CA 93060-1309 | 2006-04-26 |
| 1265745871 | Yasha S Long | Emergency Medicine | 825 N 10th St, Emergency Department, Santa Paula, CA 93060-1309 | 2010-07-23 |
| 1457511917 | Jordana Dean Kaban | Emergency Medicine | 825 N 10th St, Santa Paula, CA 93060 | 2008-06-09 |
| 1336182211 | Bert Aaron Weiner | Emergency Medicine | 825 N 10th St, Santa Paula, CA 93060-1309 | 2006-06-14 |
| 1659313534 | Andrea Teran Gonzales | Emergency Medicine | 825 N 10th St, Santa Paula, CA 93060-1309 | 2006-06-12 |
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| City | SANTA PAULA |
| Zip Code | 93060 |
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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.