JJ&R Emergency Medical Group of California, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.

Practice address

1401 S Grand Ave
Emergency Department
Los Angeles, CA 90015-3010

Phone

(213) 748-2411

Fax

(213) 742-5925

NPI assigned

May 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barry B. Staum, M.D.

Title

President & Ceo

Phone

(310) 301-2030

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1174572028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 EAST WALNUT AVENUE",
            "address_2": "#250",
            "city": "EL SAGUNDO",
            "state": "CA",
            "postal_code": "902452605",
            "telephone_number": "310-301-2030",
            "fax_number": "310-306-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S GRAND AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153010",
            "telephone_number": "213-748-2411",
            "fax_number": "213-742-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "STAUM",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "310-301-2030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.