Emeryville Multispecialty Medical Group Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A84509 Issued in CA

Legal business name

EMERYVILLE MULTISPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION

Practice address

501 S Shore Ctr W
Suite 103C
Alameda, CA 94501-5762

Phone

(510) 769-1118

Fax

(510) 769-1119

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James S Kong, M.D.NPI 1366426470

Title

President

Phone

(510) 769-1118

Specialties & licenses 4

Addresses

Other names 1

• Alameda Centre Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Kong, M.D.

  • Internal Medicine Physician
  • Alameda, CA
  • NPI 1366426470
  Medicare reassignment Care Compare group NPD Authorized official
• Hon-Wai Kelvin Lam, M.D.

  • Family Medicine Physician
  • Alameda, CA
  • NPI 1467531327
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1255536173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945010173",
            "telephone_number": "510-769-1118",
            "fax_number": "510-769-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE 103C",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "510-769-1118",
            "fax_number": "510-769-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERYVILLE MULTISPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-769-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": "CA",
            "license": "A76128",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A84509",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76128",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Centre Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Anne Elliott
• Marissa Elliott, RN
• Joyce Carol Elmore, PSY. D.
• Noha Elsaba IV
• Kyla Marie Embree
• Briana English-Williams
• Christina Marie Engram
• Jessica Enriquez
• Enzee Inc.
• Equivera Health, Inc.

• Internal Medicine Physician in Alameda, CA
• Providers in Alameda, 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 Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.