Phoenix Advanced Medical Associates
Internal Medicine in Walnut Creek, CA. Organization (NPI-2).
Details
- NPI
- 1114299286
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Advanced Medical Associates
- Organization subpart
- No
- Enumeration date
- Feb 3, 2012
- Last updated
- Feb 3, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1399 Ygnacio Valley RdSuite 14
Walnut Creek, CA 94598-2884
Phone 925-934-4123 · Fax 925-934-4125
Mailing address
1399 Ygnacio Valley RdSuite 14
Walnut Creek, CA 94598-2884
Phone 925-934-4123 · Fax 925-934-4125
Authorized official
Maryam Amini
Medical Doctor
9259344123
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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