REDWOOD GENERAL EMERGENCY PHYSICIANS MEDICAL GROUP INC (NPI# 1962705764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962705764 |
| Entity Type | Organization |
| Organization Name | REDWOOD GENERAL EMERGENCY PHYSICIANS MEDICAL GROUP INC |
| Practice Address |
2400 S Flower St Los Angeles CA 90007-2629 |
| Mailing Address |
Po Box 2801 Long Beach CA 90801-2801 |
| Practice Telephone | 2137421162 |
| Mailing Telephone | 5624680227 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |
| Authorized Official Name | STEVEN P. MARON (PRESIDENT) |
| Authorized Official Telephone | 9252255837 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2400 S FLOWER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671022 | Lucenia A Arcinue | Anesthesiology | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2005-12-29 |
| 1902165111 | Jennifer Saw Corado | Social Worker | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2012-05-08 |
| 1003183146 | Maria Imelda Bautista-durand | Nurse Practitioner | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2011-11-17 |
| 1538445648 | Erika M Bocanegra | Social Worker | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2011-11-02 |
| 1861778060 | Caesar Guerrero | Registered Nurse | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2011-11-01 |
| 1568788669 | Barbara Ellen Habell | Nurse Practitioner | 2400 S Flower St, Orthopaedic Hospital, Los Angeles, CA 90007-2629 | 2010-04-14 |
| 1710201421 | Cope Health Solutions | Clinic/Center | 2400 S Flower St, Lowman Outpatient Building, Third Floor, Los Angeles, CA 90007-2629 | 2010-03-24 |
| 1649402678 | Tigran Avoian | Emergency Medicine | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2009-08-08 |
| 1225271505 | Joan F Wright, Md, Inc. | Plastic Surgery | 2400 S Flower St, 3rd Floor, Los Angeles, CA 90007-2629 | 2009-04-15 |
| 1386881779 | Alejandro Mancilla | Physical Therapist | 2400 S Flower St, Los Angeles, CA 90007-2629 | 2009-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| 1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
| Find all providers in zip 90007 | ||||
| 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 |
|---|---|---|---|---|
| 1558717983 | James Marvel | Emergency Medicine | 1520 Rodney Dr Apt 411, Los Angeles, CA 90027-5327 | 2016-05-04 |
| 1871956359 | Gregory Elbert Tong | Emergency Medicine | 942 Westwood Boulevard, Suite 300, Los Angeles, CA 90024 | 2016-04-01 |
| 1073979704 | Erik Akopian | Emergency Medicine | 1200 N State St Ste Ct-a7d, Los Angeles, CA 90033-1029 | 2016-01-11 |
| 1043685969 | Abraham Flinders | Emergency Medicine | 1021 N Bonnie Brae St, Los Angeles, CA 90026-3110 | 2015-12-03 |
| 1164892501 | Benjamin Musser | Emergency Medicine | 1957 Preston Ave, Los Angeles, CA 90026-1827 | 2015-09-28 |
| 1295138022 | Brian Raffetto | Emergency Medicine | 1200 N State St Rm A7d, Los Angeles, CA 90033-1029 | 2014-10-07 |
| 1427450691 | Ariel Justine Bowman | Emergency Medicine | 1200 N. State Street, Ct-room A7d, Los Angeles, CA 90033 | 2014-09-19 |
| 1093150476 | Sushil Jain | Emergency Medicine | 6041 Cadillac Ave Dept Of, Los Angeles, CA 90034-1702 | 2013-04-30 |
| 1497198402 | Russell Andrew Johnson | Emergency Medicine | 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | 2013-04-09 |
| 1114260858 | Catherine Marie Weaver | Emergency Medicine | 757 Westwood Plz Ste 1517, Los Angeles, CA 90095-8358 | 2013-04-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
Please comment or provide details below to improve the information on REDWOOD GENERAL EMERGENCY PHYSICIANS MEDICAL GROUP INC.
| 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.