ADVANCED MULTI SPECIALTY MEDICAL GROUP (NPI# 1194864421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194864421 |
Entity Type | Organization |
Organization Name | ADVANCED MULTI SPECIALTY MEDICAL GROUP |
Other Organization Name | AS SOON AS POSSIBLE MEDICAL CENTER INC. |
Practice Address |
1460-1470 150th Ave San Leandro CA 94578-1821 |
Practice Telephone | 5102764845 |
Practice Fax Number | 5102768452 |
Mailing Telephone | 5102764845 |
Mailing Fax Number | 5102768452 |
Enumeration Date | 2007-02-05 |
Last Update Date | 2008-06-26 |
Authorized Official Name | DR. THOMAS VAMVOURIS (PARTNER) |
Authorized Official Telephone | 5102764845 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | Chiropractic Providers | ||
N | 171100000X | Acupuncturist | Other Service Providers | ||
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
As Soon As Possible Medical Center Inc. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750640413 | Advanced Multi Specialty Medical Group | Chiropractor | 4180 Treat Blvd Ste A1, Concord, CA 94518 | 2012-05-15 |
1073712162 | Advanced Multi Specialty Medical Group | General Practice | 37471 Fremont Blvd, Fremont, CA 94536-3704 | 2007-07-17 |
1538281621 | Advanced Multi Specialty Medical Group | Chiropractor | 100 W Jackson St, Hayward, CA 94544-1810 | 2007-04-06 |
1205981412 | Advanced Multi Specialty Medical Group | Chiropractor | 1690 W. Texas St, Ste 1w, Fairfield, CA 94533-5947 | 2007-01-25 |
1265587422 | Advanced Multi Specialty Medical Group | Chiropractor | 177 Butcher Rd Ste A, Vacaville, CA 95687-5656 | 2007-01-25 |
Street Address |
1460-1470 150TH AVE |
City | SAN LEANDRO |
State | CA |
Zip Code | 94578-1821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639211923 | Sultan Hamid | General Practice | 1460-1470 150th Ave, San Leandro, CA 94578 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669527123 | As Soon As Possible Medical Center Inc | General Practice | 1460 150th Ave, San Leandro, CA 94578-1821 | 2007-01-24 |
1770537433 | Calder Bryce Conner | General Practice | 2587 Merced St, San Leandro, CA 94577-4207 | 2006-05-19 |
1356683551 | Anthony Bruce Riley | General Practice | 433 Estudillo Ave, Suite 206, San Leandro, CA 94577-4915 | 2013-03-26 |
1144517756 | Najibulrahman Saifulrahman | General Practice | 15921 E 14th St, San Leandro, CA 94578-3005 | 2011-07-03 |
1558684209 | Kirby Knox | General Practice | 595 Estudillo Ave, San Leandro, CA 94577-4611 | 2010-03-09 |
1972785996 | Vincent Lemmuel Baldwin | General Practice | 333 Estudillo Ave, Suite 103, San Leandro, CA 94577-4717 | 2007-11-30 |
1639211923 | Sultan Hamid | General Practice | 1460-1470 150th Ave, San Leandro, CA 94578 | 2007-02-13 |
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City | SAN LEANDRO |
Zip Code | 94578 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.