Organization Active NPI

A Amoli MD Inc

  • Family Medicine Physician
  • Newark, CA
National Provider Identifier
1366499832
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56121 Issued in CA
Legal business name
A AMOLI MD INC
Practice address
6170 Thornton Ave
Suite H
Newark, CA 94560-3700
Phone
(510) 636-1622
Fax
(510) 857-5847
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Hossein Abed Amoli, M.D.
Title
Family Practice
Phone
(510) 636-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A56121 CA Primary

Addresses

Primary practice location

6170 Thornton Ave
Suite H
Newark, CA 94560-3700

Mailing address

6170 Thornton Ave
Suite H
Newark, CA 94560-3700
Phone (510) 636-1622

Other identifiers 3

IdentifierTypeStateIssuer
1366499832OtherCANPI CORPORATION
ZZZ03843ZOtherCAPTEN
1861595233OtherCANPI PERSONAL

National Provider Directory

National Provider Directory

Locations

6170 Thornton Ave
Ste H
Newark, CA 94560
Phone (510) 636-1622

9811 Bigge St
Oakland, CA 94603
Phone (510) 636-1622

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1366499832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 THORNTON AVE",
            "address_2": "SUITE H",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603700",
            "telephone_number": "510-636-1622",
            "fax_number": "510-857-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 THORNTON AVE",
            "address_2": "SUITE H",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603700",
            "telephone_number": "510-636-1622",
            "fax_number": "510-857-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A AMOLI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "AMOLI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_middle_name": "ABED",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "510-636-1622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CORPORATION",
            "identifier": "1366499832",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTEN",
            "identifier": "ZZZ03843Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "1861595233",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.