GENESIS INFINITY MEDICAL GROUP NPI 1568118685

NPI Information

NPI: 1568118685
Provider Name: GENESIS INFINITY MEDICAL GROUP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2445-2447 SANTA CLARA AVE STE 305
ALAMEDA, CA
ZIP 94501
Phone: (510) 426-5640
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GENESIS INFINITY MEDICAL GROUP is a primary care nurse practitioner in Alameda, CA. GENESIS INFINITY MEDICAL GROUP NPI is 1568118685. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2445-2447 SANTA CLARA AVE STE 305
ALAMEDA, CA
ZIP 94501
Phone: (510) 426-5640

The provider's authorized official is Johnfrei Delariman .
The authorized official title is Ceo and has the following contact phone number (510) 227-9151.

The enumeration date for this NPI number is 2/28/2022 and was last updated on 3/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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