Anaheim Emergency Medical Group
NPI 1114626017 · Emergency Medicine Physician · Anaheim, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anaheim Emergency Medical Group is a Emergency Medicine Physician organization in Anaheim, CA (NPI 1114626017).
Provider details
- NPI number
- 1114626017
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chad Clark, Managing Director(951) 898-0823
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Anaheim Emergency Medical Group
Registry dates
- Enumerated
- 2023-02-28
- Last updated
- 2023-02-28
- Certified
- 2023-02-28
Frequently asked questions
- What is Anaheim Emergency Medical Group's NPI number?
- Anaheim Emergency Medical Group's National Provider Identifier (NPI) is 1114626017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anaheim Emergency Medical Group?
- Anaheim Emergency Medical Group is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Anaheim Emergency Medical Group located?
- Anaheim Emergency Medical Group's practice location on file with NPPES is 1111 W La Palma Ave, Anaheim, CA 92801-2804.
- What is Anaheim Emergency Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Anaheim Emergency Medical Group is (714) 774-1450.
- Does Anaheim Emergency Medical Group accept Medicare?
- Anaheim Emergency Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Anaheim Emergency Medical Group?
- The authorized official listed on Anaheim Emergency Medical Group's NPPES record is Chad Clark, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anaheim Emergency Medical Group's NPI active?
- Yes — Anaheim Emergency Medical Group's NPI (1114626017) is active in the NPPES registry as of the last update on 2023-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.