PACIFIC PARADISE EMERGENCY PHYSICIANS MEDICAL GROUP INC
NPI 1780066076
Emergency Medicine in National City, CA

Q: What is Pacific Paradise Emergency Physicians Medical Group Inc's specialty?

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

Active since June 23, 2015

2400 E 4TH ST, NATIONAL CITY, CA 91950(619) 470-4141 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pacific Paradise Emergency Physicians Medical Group Inc NPPES

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

PACIFIC PARADISE EMERGENCY PHYSICIANS MEDICAL GROUP INC (NPI 1780066076) is a healthcare organization registered as an emergency medicine in National City, California and active in the NPI registry since June 2015. The organization lists Paul J. Manos, President, as its authorized official.

NPPES Registry Identity

NPI1780066076

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePACIFIC PARADISE EMERGENCY PHYSICIANS MEDICAL GROUP INC

Location Address2400 E 4TH STNational City, CA 91950-2026

Mailing AddressPo Box 509015, Department # Ws248San Diego, CA 92150-9015 · (626) 447-0296 · Fax (626) 447-6057

Phone(619) 470-4141

Organization SubpartNo

Authorized OfficialPaul J. ManosPresident · (626) 447-0296

Enumeration DateJune 23, 2015

Last NPPES UpdateJune 27, 2016

✔ NPI 1780066076 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.

2400 E 4TH ST, National City, CA 91950

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Other Identifiers 2

Other1780066076CA · Medi-cal

Medicare PINCB239110CA

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 Paradise Emergency Physicians Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 34 clinicians reassign Medicare billing to Pacific Paradise Emergency Physicians Medical Group Inc, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine23

Nurse Practitioner7

Family Practice3

Internal Medicine1

Nearest to this location (20)

See all 34

Allison Kornblatt, M.D.

Emergency Medicine

NPI 1023471224

2400 E 4TH ST
National City, CA 91950

(917) 699-6856

✔ PECOSSame address

Amanda Nesicolaci, FNP-C

Nurse Practitioner

NPI 1285425819

2400 E 4TH ST
National City, CA 91950

(877) 346-2211