Organization Active NPI

Affiliates in Medical Specialties Medical Group Inc

  • Internal Medicine Physician
  • Agoura Hills, CA
National Provider Identifier
1184746729
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AFFILIATES IN MEDICAL SPECIALTIES MEDICAL GROUP INC
Practice address
29525 Canwood St
Suite 300
Agoura Hills, CA 91301-4233
Phone
(818) 706-2477
Fax
(818) 706-2368
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Nannette Valdez
Title
Business Office MGR
Phone
(818) 347-2921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

29525 Canwood St
Suite 300
Agoura Hills, CA 91301-4233

Mailing address

29525 Canwood St
Suite 300
Agoura Hills, CA 91301-4233
Phone (818) 706-2477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1184746729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "SUITE 300",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-706-2477",
            "fax_number": "818-706-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "SUITE 300",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-706-2477",
            "fax_number": "818-706-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATES IN MEDICAL SPECIALTIES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "NANNETTE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MGR",
        "authorized_official_telephone_number": "818-347-2921"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.