Organization Active NPI

Alivio Medical Group, Inc.

  • Specialist
  • Sacramento, CA
National Provider Identifier
1013078765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G42657 Issued in CA
Legal business name
ALIVIO MEDICAL GROUP, INC.
Practice address
3009 K St Ste 202
Sacramento, CA 95816-5223
Phone
(916) 448-2998
Fax
(916) 448-3199
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andrew Diaz
Title
Secretary Chief Operations Officer
Phone
(916) 448-2998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G42657 CA Primary

Addresses

Primary practice location

3009 K St Ste 202
Sacramento, CA 95816-5223

Mailing address

3009 K St Ste 202
Sacramento, CA 95816-5223
Phone (916) 448-2998

Other names 1

  • AMD Medical Services, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

3009 K St
Ste 202
Sacramento, CA 95816
Phone (916) 448-2998

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013078765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 K ST STE 202",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165223",
            "telephone_number": "916-448-2998",
            "fax_number": "916-448-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 K ST STE 202",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165223",
            "telephone_number": "916-448-2998",
            "fax_number": "916-448-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVIO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "SECRETARY CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "916-448-2998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G42657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMD Medical Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.