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Contact Information

PLEASANTON EMERGENCY MEDICAL GROUP
5555 W LAS POSITAS BLVD
PLEASANTON, CA94588
 Phone: 209-342-2300
 Fax: 209-524-4240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PLEASANTON EMERGENCY MEDICAL GROUP

NPI # 1285625509
LBN Legal business name PLEASANTON EMERGENCY MEDICAL GROUP
Authorized official EDWARD KAN - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2005
Last updated 03/04/2026 - About 3 months ago
Identifiers
CA License # 040027
CA Medicaid GR0094321
CA Other ZZZ08094Z BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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