Organization Active NPI

Nagui Achamallah MD, Inc.

  • Psychiatry Physician
  • Concord, CA
National Provider Identifier
1114065042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A48988 Issued in CA
Legal business name
NAGUI ACHAMALLAH MD, INC.
Practice address
1000 Burnett Ave
Suite 435
Concord, CA 94520
Phone
(925) 681-2645
Fax
(925) 681-2645
NPI assigned
Feb 2, 2007
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
Nagui Achamallah, MD
Title
President
Phone
(925) 681-2645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A48988 CA Primary

Addresses

Primary practice location

1000 Burnett Ave
Suite 435
Concord, CA 94520

Mailing address

1000 Burnett Ave
Suite 435
Concord, CA 94520
Phone (925) 681-2645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114065042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BURNETT AVE",
            "address_2": "SUITE 435",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-681-2645",
            "fax_number": "925-681-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BURNETT AVE",
            "address_2": "SUITE 435",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-681-2645",
            "fax_number": "925-681-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGUI ACHAMALLAH MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACHAMALLAH",
        "authorized_official_first_name": "NAGUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-681-2645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A48988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, 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.