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 1932354206

Premier Emergency Physicians of California Medical Group PC is an Emergency Medicine Physician in Clearlake, California. Registered with an NPI since 2008.

In the registry since
2008
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

15630 18th Ave
Clearlake, CA 95422-9336
Phone: (707) 994-6486
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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 number1932354206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedNovember 29, 2008
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021
Mailing address5565 Centerview Dr Ste 107, Raleigh, NC 27606-3563

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