ANAHEIM EMERGENCY MEDICAL GROUP
NPI 1114626017
Emergency Medicine in Anaheim, CA
About Anaheim Emergency Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANAHEIM EMERGENCY MEDICAL GROUP (NPI 1114626017) is a healthcare organization registered as an emergency medicine in Anaheim, California and active in the NPI registry since February 2023. The organization lists Chad L. Clark, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anaheim Emergency Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Anaheim Emergency Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 42Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anaheim Emergency Medical Group's NPI number?
The NPI number for Anaheim Emergency Medical Group is 1114626017. It was assigned to this organization in the NPPES registry on February 28, 2023.
Where is Anaheim Emergency Medical Group located?
Anaheim Emergency Medical Group is located at 1111 W La Palma Ave, Anaheim, CA 92801. The listed phone number is (714) 774-1450.
What is Anaheim Emergency Medical Group's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Anaheim Emergency Medical Group enrolled in Medicare?
Yes. Anaheim Emergency Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Anaheim Emergency Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 4 Medicare specialties reassign their Medicare billing to Anaheim Emergency Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (31), Nurse Practitioner (9) and Family Practice (1). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Anaheim Emergency Medical Group was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Anaheim Emergency Medical Group · NPI 1114626017
Emergency Medicine organization in Anaheim, California. Organization record, active in the CMS NPPES registry since February 28, 2023.
## Identity
- **NPI:** 1114626017 (Entity type: Organization)
- **Enumerated:** February 28, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Also known as:** Anaheim Emergency Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Chad Clark, MANAGING DIRECTOR
## Practice location
- **Address:** 1111 W LA PALMA AVE, Anaheim, CA 92801-2804
- **Phone:** (714) 774-1450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 42 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (31), Nurse Practitioner (9), Family Practice (1); 1 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1114626017/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114626017) · Data from the CMS NPPES public registry.