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

1001 N Tustin Ave
Emergency Department
Santa Ana, CA 92705-3502

Phone

(714) 953-3500

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 & Ceo

Phone

(310) 301-2030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1821049032",
    "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 SEGUNDO",
            "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": "1001 N TUSTIN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053502",
            "telephone_number": "714-953-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "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": "CA",
            "license": "G28196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enjing Jin
• Ji-Guang Jin, MD
• Rachelle C. Jiongco, APRN, MSN, PMHNP-BC
• Sasithorn Ratanaprakarn Jitpakdee, M.D.
• JJ Dental, Inc
• JNM Dental Partners Inc
• Jacqueline Joerres
• John G. Alevizos DO, Inc.
• John G. Alevizos, D.O., a Professional Medical Corporation
• John Henry Foundation

• Emergency Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, 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.