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

1025 N Douty St
Emergency Department
Hanford, CA 93230-3722

Phone

(310) 301-2030

Fax

(310) 306-5247

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

Tax ID family

JJR Emergency Medical Group of California Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JJ&R Emergency Medical Group of California, Inc.

  • Emergency Medicine Physician
  • Hanford, CA
  • NPI 1740230390
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Bastian, M.D.

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1861439267
  NPD (past)

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": "1598716888",
    "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": "1025 N DOUTY ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "310-301-2030",
            "fax_number": "310-306-5247"
        }
    ],
    "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": []
}

• John Jennings
• Samantha Jeske
• Kassandra Jimenez
• Nicole Jimenez
• Tina Jimenez, NP
• JJ&R Emergency Medical Group of California, Inc.
• Kian Ranjie Jno Baptiste Sr., IDC
• Courtney Sage Johansen
• Brenda Ann Johnson-Hill, LMFT
• Brenda Johnson, SUDCC II

• Emergency Medicine Physician in Hanford, CA
• Providers in Hanford, 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.