Healthcare Provider Details

I. General information

NPI: 1467463539
Provider Name (Legal Business Name): NAPA VALLEY EMERGENCY MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TRANCAS STREET
NAPA CA
94558
US

IV. Provider business mailing address

PO BOX 4419
WOODLAND HILLS CA
91365-4419
US

V. Phone/Fax

Practice location:
  • Phone: 707-257-4099
  • Fax:
Mailing address:
  • Phone: 818-340-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN CARDEY
Title or Position: MANAGER PARTNER
Credential: M.D.
Phone: 707-363-0631