Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Konocti Emergency Physicians

Organization Emergency Medicine Physician · NPI 1023263399

Konocti Emergency Physicians provides Emergency Medicine Physician services in Clearlake, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

15630 18th Ave
Clearlake, CA 95422-9336 Not confirmed with CMS for 17 years — call before visiting
Phone: (707) 994-6486
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1023263399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Mitchell — General Partner · (805) 563-3011
NPI enumeratedNovember 29, 2008
Last updated in NPPESFebruary 6, 2009
Mailing address3916 State St, 300, Santa Barbara, CA 93105-5602

Other providers in Clearlake