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PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC
NPI 1932354206
Emergency Medicine in Clearlake, CA

Active since November 29, 2008
15630 18TH AVE, CLEARLAKE, CA 95422(707) 994-6486 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Emergency Physicians Of California Medical Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC (NPI 1932354206) is a healthcare organization registered as an emergency medicine in Clearlake, California and active in the NPI registry since November 2008. The organization lists Kathy Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1932354206
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC
Location Address15630 18TH AVEClearlake, CA 95422-9336
Mailing Address5565 Centerview Dr Ste 107Raleigh, NC 27606-3563
Phone(707) 994-6486
Organization SubpartNo
Authorized OfficialKathy KondasOfficer · (973) 251-1132
Enumeration DateNovember 29, 2008
Last NPPES UpdateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1932354206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

15630 18TH AVE, Clearlake, CA 95422
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Other Identifiers 2

Medicaid1932354206CA
OtherDO4653CA · Railroad

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN HEWITT MD
Emergency Medicine
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 995-5890
JOHN CLARKE
Anesthesiology
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
HELEN ANN SANDAGER RD
Dietitian, Registered
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 995-5741
KONOCTI EMERGENCY PHYSICIANS
Emergency Medicine
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
CALIFORNIA EM-I MEDICAL SERVICES
Emergency Medicine
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 995-5890
LAURIE K HALVERSEN LCSW
Social Worker (Clinical)
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 994-6486
MRS. AMBER WARNER LCSW
Social Worker (Clinical)
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (707) 995-5817
JENNIFER A DOWALTER MD A PROFESSIONAL CORPORATION
Internal Medicine
15630 18TH AVE
CLEARLAKE, CA 95422
Lake County (702) 453-3799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Emergency Physicians Of California Medical Group PC's NPI number?

The NPI number for Premier Emergency Physicians Of California Medical Group PC is 1932354206. It was assigned to this organization in the NPPES registry on November 29, 2008.

Where is Premier Emergency Physicians Of California Medical Group PC located?

Premier Emergency Physicians Of California Medical Group PC is located at 15630 18th Ave, Clearlake, CA 95422. The listed phone number is (707) 994-6486.

What is Premier Emergency Physicians Of California Medical Group PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Premier Emergency Physicians Of California Medical Group PC was last updated on April 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.