Amigo Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

FNP 4774 Issued in CA

Legal business name

AMIGO MEDICAL GROUP, INC.

Practice address

386 E H St
Suite 210
Chula Vista, CA 91910-7485

Phone

(619) 427-5053

Fax

(619) 427-1437

NPI assigned

Apr 17, 2006

Organization subpart

No

Name

Mrs. Sally Anderson Monahan

Title

Secretary Treasurer

Phone

(619) 427-5053

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528023306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 E H ST",
            "address_2": "SUITE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107485",
            "telephone_number": "619-427-5053",
            "fax_number": "619-427-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 E H ST",
            "address_2": "SUITE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107485",
            "telephone_number": "619-427-5053",
            "fax_number": "619-427-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIGO MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "619-427-5053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "FNP 4774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0046550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Buenvenida FNP LLC
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• Americas Best Medical Transport
• Helen N/a Amezquita
• Amigo Transportation Inc.
• Lina Amini, M.D.
• Nawena Amini, PHARMD
• Gillene Amoguis
• Heidi Marie Amundson, PA-C

• All providers in Chula Vista, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.