NPIMap

Organization Active NPI

Affinity Health Advantage Medical Group, Inc.

  • Internal Medicine Physician
  • Alameda, CA
National Provider Identifier
1093361354
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AFFINITY HEALTH ADVANTAGE MEDICAL GROUP, INC.
Practice address
2217 S Shore Ctr # 250
Alameda, CA 94501-8073
Phone
(510) 323-4410
NPI assigned
Aug 13, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Kinjal Patel, MDNPI 1114243854
Title
President
Phone
(510) 323-4410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X

Addresses

Primary practice location

2217 S Shore Ctr # 250
Alameda, CA 94501-8073

Mailing address

302 Cherry St
Arita, IA 50020
Phone (712) 249-3661

National Provider Directory

National Provider Directory

Locations

2217 S Shore Ctr
#250
Alameda, CA 94501
Phone (510) 323-4410

2217 S Shore Ctr
Ste 250
Alameda, CA 94501
Phone (510) 323-4410

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1093361354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CHERRY ST",
            "city": "ARITA",
            "state": "IA",
            "postal_code": "50020",
            "telephone_number": "712-249-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 S SHORE CTR # 250",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945018073",
            "telephone_number": "510-323-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTH ADVANTAGE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KINJAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-323-4410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.