Phoenix Advanced Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHOENIX ADVANCED MEDICAL ASSOCIATES

Practice address

1399 Ygnacio Valley Rd
Suite 14
Walnut Creek, CA 94598-2884

Phone

(925) 934-4123

Fax

(925) 934-4125

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Maryam Amini, M.D.

Title

Medical Doctor

Phone

(925) 934-4123

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1114299286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD",
            "address_2": "SUITE 14",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982884",
            "telephone_number": "925-934-4123",
            "fax_number": "925-934-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD",
            "address_2": "SUITE 14",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982884",
            "telephone_number": "925-934-4123",
            "fax_number": "925-934-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ADVANCED MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "925-934-4123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (PROVIDER TRANSACTION ACCESS NUMBER)",
            "identifier": "DR955A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PHC Acquisition Corporation
• Thomas Edward Philbert, MD
• Mary Beth Phillips, LMFT
• Samuel Noah Phillips, LCSW
• Eddy Q. Pho, MD
• Malinee Phumiwasana
• Thomas T. Phuriphan, MD
• Physical Therapy Interventions, Inc.
• Physiotherapy Associates Inc
• Cassandra Pianetta

• Internal Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.