JJ&R Emergency Medical Group of California, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G28196 Issued in CA

Legal business name

JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.

Practice address

2400 E 4TH St
Emergency Department
National City, CA 91950-2026

Phone

(619) 470-4321

NPI assigned

May 12, 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 and Ceo

Phone

(310) 301-2030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1245281443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 GLENCOE AVE",
            "address_2": "SUITE 260",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926385",
            "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": "2400 E 4TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502026",
            "telephone_number": "619-470-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "STAUM",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT AND 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": "CA",
            "license": "G28196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvetta Janku
• Jeramel Geronimo Jardin, DDS
• Jay N. Pandhi, M.D., a Professional Corporation
• Jerome Robinson MD a Medical Corp (Southern California Medical Clinic)
• Janice Jimenez, RDH
• Joseph Tulagan MD
• Caroline Jovenal, OTR/L
• Abigail Arce Jumoc, DMD, DDS
• Kadry MD Inc
• Roshni Kakaiya, DO

• Emergency Medicine Physician in National City, CA
• Providers in National City, 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 Sep 26, 2007; 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.