PACIFIC EMERGENCY PROVIDERS, A PROF. CORP.
NPI 1497790539
Emergency Medicine in San Diego, CA

Active since June 20, 2006
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 686-3800(619) 260-7050 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Pacific Emergency Providers, A Prof. Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC EMERGENCY PROVIDERS, A PROF. CORP. (NPI 1497790539) is a healthcare organization registered as an emergency medicine in San Diego, California and active in the NPI registry since June 2006. The organization lists Jon K. Ludwig, Owner, as its authorized official.

NPPES Registry Identity

NPI1497790539
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePACIFIC EMERGENCY PROVIDERS, A PROF. CORP.
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing AddressPo Box 920131Dallas, TX 75392-0131 · (626) 447-0296
Fax(619) 260-7050
Organization SubpartNo
Authorized OfficialJon K. LudwigOwner · (626) 447-0296
Enumeration DateJune 20, 2006
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1497790539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4077 FIFTH AVE, San Diego, CA 92103

Other Identifiers 1

MedicaidGR0098840CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Emergency Providers, A Prof. Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Pacific Emergency Providers, A Prof. Corp., which bills Medicare for the services they deliver. Of these, 19 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Emergency Medicine60
Nurse Practitioner13
Family Practice1

Nearest to this location (20)

See all 74
Nurse Practitioner
NPI 1376947648
4077 5TH AVE EMS
San Diego, CA 92103
(626) 447-0296
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1356091383
4077 5TH AVE # MER17
San Diego, CA 92103
(619) 686-3800
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1326138892
4077 FIFTH AVE
San Diego, CA 92103
(619) 294-8111
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1326076290
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7000
✔ PECOSSame address
Emergency Medicine
NPI 1710916283
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1538780127
4077 FIFTH AVE
San Diego, CA 92103
(925) 719-7143
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1962439505
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7095
✔ PECOSSame address
Nurse Practitioner
NPI 1265460695
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1578591517
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1700463452
4077 5TH AVE
San Diego, CA 92103
(858) 832-2478
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1881622702
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1932100062
4077 5TH AVE
San Diego, CA 92103
(619) 260-7095
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1669403911
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7095
✔ PECOSSame address
Emergency Medicine
NPI 1801869839
4077 5TH AVE EMERGENCY MEDICINE
San Diego, CA 92103
(619) 260-7095
✔ PECOSSame address
Emergency Medicine
NPI 1376571505
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7000
✔ PECOSSame address
Emergency Medicine
NPI 1962430231
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7000
✔ PECOSSame address
Emergency Medicine
NPI 1972531838
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184338048
4077 5TH AVE
San Diego, CA 92103
(619) 294-8111
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1831696194
4077 FIFTH AVE
San Diego, CA 92103
(619) 686-3800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396106399
4077 FIFTH AVE
San Diego, CA 92103
(619) 294-8111
✔ PECOS✔ Accepts Medicare0.1 mi
See all 74 clinicians

Source: 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 Pacific Emergency Providers, A Prof. Corp.'s NPI number?

The NPI number for Pacific Emergency Providers, A Prof. Corp. is 1497790539. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Pacific Emergency Providers, A Prof. Corp. located?

Pacific Emergency Providers, A Prof. Corp. is located at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 686-3800.

What is Pacific Emergency Providers, A Prof. Corp.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Pacific Emergency Providers, A Prof. Corp. enrolled in Medicare?

Yes. Pacific Emergency Providers, A Prof. Corp. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Emergency Providers, A Prof. Corp.?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 3 Medicare specialties reassign their Medicare billing to Pacific Emergency Providers, A Prof. Corp.. 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 (60), Nurse Practitioner (13) and Family Practice (1). Of these, 19 practice at this address and 40 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 Pacific Emergency Providers, A Prof. Corp. was last updated on June 19, 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.