Activa Medical Center, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A6227 Issued in CA

Legal business name

ACTIVA MEDICAL CENTER, INC.

Practice address

1479 Ygnacio Valley Rd Ste 207
Walnut Creek, CA 94598-2945

Phone

(925) 946-1098

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harry K Wong, D.C.NPI 1841352416

Title

President

Phone

(650) 400-9887

Specialties & licenses 1

Addresses

Other names 1

• Constance Noel, D.O., Inc Former legal business name

Locations

Practitioners 2

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

• Harry Kevin Wong, D.C.

  • Chiropractor
  • Belmont, CA
  • NPI 1841352416
  NPD (past) Authorized official
• Constance E. Noel, DO

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1538385786
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1700085412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 ALPINE RD STE 288-211",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287549",
            "telephone_number": "650-400-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 YGNACIO VALLEY RD STE 207",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982945",
            "telephone_number": "925-946-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-400-9887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Constance Noel, D.O., Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joel Christopher Acab, MD
• Peter W Ackerman, MD
• Acm Mental Health and Wellness, PC
• Garret Micheal Dean Acord
• Aaron Mark Sanchez Acosta, DO
• Basil Adad, MD
• Jennifer Adami
• Bryanna Adams
• Ria Adams
• Addison Yu, DDS, Dental Corp.

• Internal Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, 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 Nov 1, 2007; 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.