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ASSOCIATED FAMILY PHYSICIANS OF VALLEJO NPI 1801857396


NPI Information

NPI: 1801857396
Provider Name: ASSOCIATED FAMILY PHYSICIANS OF VALLEJO

Doing Business As: ASSOCIATED FAMILY PHYSICIANS MEDICAL GROUP OF VALLEJO-BENICA INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 HOSPITAL DR
#304
VALLEJO, CA
ZIP 94589
Phone: (707) 643-6483
Get Directions

ASSOCIATED FAMILY PHYSICIANS OF VALLEJO is a family medicine in Vallejo, 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. ASSOCIATED FAMILY PHYSICIANS OF VALLEJO NPI is 1801857396. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Associated Family Physicians Medical Group Of Vallejo-benica Inc.

The provider's business location address is:

100 HOSPITAL DR
#304
VALLEJO, CA
ZIP 94589-580
Phone: (707) 643-6483
Fax: (707) 643-3028

The provider's authorized official is Sean Patrick Hennessey .
The authorized official title is President Owner and has the following contact phone number (707) 643-6483.

The enumeration date for this NPI number is 4/1/2006 and was last updated on 5/12/2010.


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
1207Q00000XFamily MedicineC41883CALIFORNIANo
2207Q00000XFamily MedicineG64641CALIFORNIANo
3207Q00000XFamily MedicineG67566CALIFORNIAYes

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
1YYY48297YMEDICARE PINCALIFORNIA

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: 11/14/2023

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