Active NPI
A Amoli MD Inc
- Family Medicine Physician
- Newark, CA
National Provider Identifier
1366499832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A56121
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366499832 | Other | CA | NPI CORPORATION |
| ZZZ03843Z | Other | CA | PTEN |
| 1861595233 | Other | CA | NPI PERSONAL |
National Provider Directory
National Provider DirectoryLocations
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.