Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aaron Deatherage

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003563875

Aaron Deatherage is an Emergency Medicine in Corona, California. Qualified in 2023, 3 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

800 S Main St
Corona, CA 92882-3420
Phone: (951) 737-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 20A23276 (CA)

Record details

NPI number1003563875
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address800 S Main St, Corona, CA 92882-3420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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