Jj&r Emergency Medical Group of California, Inc.
NPI 1104877208ActiveOrganization· Emergency Medicine· Clearlake, CA
Emergency Medicine in Clearlake, California, registered in NPPES in May 2006. The authorized official on file is Barry B. Staum, M.D., President & Ceo.
Overview
| NPI | 1104877208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2006 |
| Last updated in NPPES | Nov 12, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | G28196 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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