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ANTIOCH MEDICAL PARK MEDICAL GROUP NPI 1154424299


NPI Information

NPI: 1154424299
Provider Name: ANTIOCH MEDICAL PARK MEDICAL GROUP

Other Name: ANTIOCH MEDICAL PARK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3737 LONE TREE WAY
ANTIOCH, CA
ZIP 94509
Phone: (925) 754-9223
Get Directions

ANTIOCH MEDICAL PARK MEDICAL GROUP is a family medicine in Antioch, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANTIOCH MEDICAL PARK MEDICAL GROUP NPI is 1154424299. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Antioch Medical Park.

The provider's business location address is:

3737 LONE TREE WAY
ANTIOCH, CA
ZIP 94509-065
Phone: (925) 754-9223
Fax: (925) 754-3945

The provider's authorized official is J Gene Zimmerman .
The authorized official title is Senior Md and has the following contact phone number (925) 754-9223.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/23/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG44114CALIFORNIANo
2207Q00000XFamily MedicineA19234CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ76320ZMEDICARE PINCALIFORNIA
2ZZZ76320ZMEDICAIDCALIFORNIA

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

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