Ambulatory Medical Associates of Chrco

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A77758 Issued in CA

Legal business name

AMBULATORY MEDICAL ASSOCIATES OF CHRCO

Practice address

5220 Claremont Ave
Oakland, CA 94618-1033

Phone

(510) 428-3129

Fax

(510) 547-2702

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Dismuke-Gideon

Title

Practice Administrator

Phone

(510) 428-3044

Specialties & licenses 1

Addresses

Tax ID family

Ambulatory Med Ascschld Hspres Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ambulatory Med. Assoc Cho

  • Pediatric Critical Care Medicine Physician
  • Oakland, CA
  • NPI 1871628214
  NPD tax ID

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659301513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 MONTICELLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946193343",
            "telephone_number": "510-759-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 CLAREMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181033",
            "telephone_number": "510-428-3129",
            "fax_number": "510-547-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY MEDICAL ASSOCIATES OF CHRCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISMUKE-GIDEON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "510-428-3044",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A77758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jean Ambrose
• Cintia Ambrosio de Lueza
• Joel Paul Ambrosio, PA-C
• Ambulatory Consultants Medical Group Inc
• Ambulatory Med. Assoc Cho
• Ginger Rose Amedio
• Ameri-Care Transit LLC
• American Current Care of California, a Medical Corporation
• American Current Care of California, a Medical Corporation
• American Indian Child Resource Center

• Primary Care Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Primary Care Clinic/Center 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.