NPIMap

Organization Active NPI

Alliance Medical Group, Inc.

  • Pediatrics Physician
  • Alameda, CA
National Provider Identifier
1174550024
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ALLIANCE MEDICAL GROUP, INC.
Practice address
1332 Park St
Suite 202
Alameda, CA 94501-4545
Phone
(510) 523-3417
Fax
(916) 239-3614
NPI assigned
Jun 27, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Richard M. Sankary, MDNPI 1861481541
Title
President
Phone
(510) 724-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1332 Park St
Suite 202
Alameda, CA 94501-4545

Mailing address

1332 Park St
Suite 202
Alameda, CA 94501-4545

Other identifiers 1

IdentifierTypeStateIssuer
GR0081637MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Alliance Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1332 Park St
Ste 202
Alameda, CA 94501
Phone (510) 523-3417

Practitioners & affiliated clinicians

Practitioners 11

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1174550024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 PARK ST",
            "address_2": "SUITE 202",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 PARK ST",
            "address_2": "SUITE 202",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014545",
            "telephone_number": "510-523-3417",
            "fax_number": "916-239-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SANKARY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-724-9110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081637",
            "state": "CA"
        }
    ],
    "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 Jun 19, 2008; 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.