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

Premier Emergency Physicians of California Medical Group PC

Organization Emergency Medicine Physician · NPI 1164715645

Premier Emergency Physicians of California Medical Group PC is an Emergency Medicine Physician in San Andreas, California. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone: (209) 754-3521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1164715645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedMay 17, 2011
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021
Mailing address3916 State St, 300, Santa Barbara, CA 93105-5602

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