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NPI Code Detail

MEDICARE: CEP AMERICA LLC

MEDICARE: CEP AMERICA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1558212548
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEP AMERICA LLC
Provider Business Mailing Address
First Line : 1601 CUMMINS DR STE D
Second Line :
City : MODESTO
State : CA
Zip : 95358-6411
Country : US
Telephone Number : 510-851-7501
Fax Number :
Provider Business Practice Location Address
First Line : 1313 E 32ND ST
Second Line :
City : SILVER CITY
State : NM
Zip : 88061-7251
Country : US
Telephone Number : 575-538-4000
Fax Number :
Authorized Official
Title or Position : COO
Name : DAVID BIRDSALL
Credential : MD
Telephone Number : 510-350-2600
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “CEP AMERICA LLC ” Practice Location

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