MEDICARE: ERNEST R ALMENDAREZ MD

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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	A60246	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A60246	OTHER	CA	CA MEDICAL LICENSE

General Provider Information

NPI Number	:	1821182338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNEST R ALMENDAREZ MD

Provider Business Mailing Address
First Line	:	3116 W MARCH LANE
Second Line	:	SUITE 200
City	:	STOCKTON
State	:	CA
Zip	:	95219-2370
Country	:	US
Telephone Number	:	209-473-6555
Fax Number	:	209-473-6544

Provider Business Practice Location Address
First Line	:	1800 NO CALIFORNIA STREET
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-0000
Country	:	US
Telephone Number	:	209-473-6555
Fax Number	:	209-473-6544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

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