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

Lakeport Emergency Medical Corporation

Organization Emergency Medicine Physician · NPI 1376636597

Lakeport Emergency Medical Corporation is an Emergency Medicine Physician in Lakeport, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

5176 Hill Rd E
Lakeport, CA 95453-6357
Phone: (626) 447-0296
Fax: (626) 447-6057
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 G64122 (CA)

Record details

NPI number1376636597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Maron — President · (626) 447-0296
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 7, 2014
Mailing addressPo Box 1848, Arcadia, CA 91077-1848

Other providers in Lakeport