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

Jj&r Emergency Medical Group of California, Inc

Organization Emergency Medicine Physician · NPI 1104877208

Jj&r Emergency Medical Group of California, Inc is an Emergency Medicine Physician in Clearlake, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18TH Avenue And Highway 53 Emergency Dept
Clearlake, CA 95422-6720
Phone: (707) 994-6486
Fax: (707) 994-6075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence G28196 (CA)

Record details

NPI number1104877208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Staum — President & Ceo · (310) 301-2030
NPI enumeratedMay 13, 2006
Last updated in NPPESNovember 12, 2008
Mailing address1700 East Walnut Avenue, 250, El Segundo, CA 90245-2605

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