Konocti Emergency Physicians
Konocti Emergency Physicians is a healthcare organization registered as Emergency Medicine Physician in Clearlake, CA, holding Type 2 (organization) NPI 1023263399 since 2008. The authorized official on file is Charles Mitchell, General Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023263399 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Konocti Emergency Physicians |
| Practice address | 15630 18TH AVE, Clearlake, CA, 95422 |
| Phone | 7079946486 |
| Enumeration date | 2008-11-29 |
| Last updated in NPPES | 2009-02-06 |
Authorized official
| Name | Charles Mitchell |
|---|---|
| Title | General Partner |
| Phone | 8055633011 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ55400Y | Other | CA | BLUESHIELD |
Copy-ready billing details
Provider: Konocti Emergency Physicians NPI: 1023263399 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 15630 18TH AVE, Clearlake, CA, 95422
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124018031 | Adventist Health Clearlake Hospital Inc. | Organization | Critical Access Hospital | Clearlake, CA |
| 1063482842 | John Vidrih | Individual | Hospitalist Physician | Clearlake, CA |
| 1902840176 | John Hewitt | Individual | Emergency Medicine Physician | Clearlake, CA |
| 1053329359 | John Clarke | Individual | Anesthesiology Physician | Clearlake, CA |
| 1457439200 | Thomas Kreck | Individual | Critical Care Medicine (Internal Medicine) Physician | Clearlake, CA |
| 1487722906 | Helen Sandager | Individual | Registered Dietitian | Clearlake, CA |
| 1942475538 | Christopher Voss | Individual | Addiction Medicine (Preventive Medicine) Physician | Clearlake, CA |
| 1932354206 | Premier Emergency Physicians of California Medical Group PC | Organization | Emergency Medicine Physician | Clearlake, CA |
Verify this record
Cross-check NPI 1023263399 against the authoritative CMS record: view Konocti Emergency Physicians on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Konocti Emergency Physicians?
What is the NPI number for Konocti Emergency Physicians?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-02-06.