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

Sonoma Valley Emergency Physician Medical Group, Inc

Organization Emergency Medicine Physician · NPI 1417133125

Sonoma Valley Emergency Physician Medical Group, Inc is an Emergency Medicine Physician in Mount Shasta, California. Registered with an NPI since 2008.

In the registry since
2008
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

914 Pine St
Mount Shasta, CA 96067-2143
Phone: (530) 926-6111
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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 number1417133125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Maron — President · (707) 935-5100
NPI enumeratedJanuary 11, 2008
Last updated in NPPESJune 16, 2008
Mailing addressPo Box 10609, Westminster, CA 92685-0609

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