MEDICARE: CEP AMERICA-ARIZONA LLP

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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1841021581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEP AMERICA-ARIZONA LLP

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	:	7401 S WILMOT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-8803
Country	:	US
Telephone Number	:	520-493-0499
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE VP OF OPERATIONS
Name	:	DAVID BIRDSALL
Credential	:	MD
Telephone Number	:	510-350-2759

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	01/21/2026

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Directions to “CEP AMERICA-ARIZONA LLP ” Practice Location

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