COAST PLAZA EMERGENCY PHYSICIANS GROUP INC (NPI# 1912308446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912308446 |
| Entity Type | Organization |
| Organization Name | COAST PLAZA EMERGENCY PHYSICIANS GROUP INC |
| Practice Address |
13100 Studebaker Rd Norwalk CA 90650-2531 |
| Mailing Address |
Po Box 80481 City of Industry CA 91716-8404 |
| Practice Telephone | 5628683751 |
| Mailing Telephone | 8668987148 |
| Mailing Fax Number | 9048051037 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | DR. WALTER RICHARD BUSH JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3106985474 |
| 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 |
| Street Address |
13100 STUDEBAKER RD |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477547818 | Seyed S Kamali | Anesthesiology | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2005-08-31 |
| 1316563976 | Tele-icu Inc | Internal Medicine | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2020-06-19 |
| 1881077626 | James Sherer, C.r.n.a., A Nursing Corp. | Nurse Anesthetist, Certified Registered | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2015-06-29 |
| 1689089195 | Jung-eun Jane Lim | Emergency Medicine | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2014-06-23 |
| 1811310337 | Point Anesthesia Services PC | Anesthesiology | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2014-02-04 |
| 1629410519 | Eli Luong | Anesthesiology | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2013-07-22 |
| 1194016923 | Cph Hospital Management LLC | General Acute Care Hospital | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2011-04-27 |
| 1679863195 | Cph Hospital Properties, LLC | General Acute Care Hospital | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2011-04-18 |
| 1629305479 | Michael Duane Stone | Emergency Medicine | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2009-11-13 |
| 1184893935 | Leslie Alan Lin M D, Inc | Anesthesiology | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| 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 |
|---|---|---|---|---|
| 1487017497 | Varun Shahi | Emergency Medicine | 12310 Del Rio Ct, Norwalk, CA 90650-8027 | 2016-03-29 |
| 1730580325 | Clinic 21 of Connecticut LLC | Emergency Medicine | 497 Westport Ave, Norwalk, CT 06851-4411 | 2014-09-15 |
| 1720321144 | Stephanie Hanna | Emergency Medicine | 47 Comstock Hill Ave, Norwalk, CT 06850-1003 | 2013-04-03 |
| 1992959076 | Claudia Lynn Beals | Emergency Medicine | 304 Main Ave, 209, Norwalk, CT 06851-6167 | 2008-11-16 |
| 1124178546 | Mark Harris | Emergency Medicine | Fisher-titus Medical Center, 272 Benedict Ave., Norwalk, OH 44857 | 2007-01-10 |
| 1154344620 | Steven Gary Berger | Emergency Medicine | 346 Main Ave, Norwalk, CT 06851-1510 | 2006-07-25 |
| 1942208723 | Michael Carius | Emergency Medicine | 34 Maple St, Norwalk, CT 06850-3815 | 2005-07-14 |
| 1386176832 | Danielle Roberts | Emergency Medicine | 34 Maple St, Norwalk, CT 06850-3894 | 2017-04-03 |
| 1689089195 | Jung-eun Jane Lim | Emergency Medicine | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2014-06-23 |
| 1316200785 | Richard J Teitell | Emergency Medicine | 24 Stevens St, Norwalk, CT 06850 | 2012-06-20 |
| Find all providers in NORWALK | ||||
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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.