Advanced Medical Solutions, LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

0127050602 Issued in CA

Legal business name

ADVANCED MEDICAL SOLUTIONS, LLC

Practice address

1202 Tully Rd Suite B
Modesto, CA 95350-4988

Phone

(209) 527-7726

Fax

(209) 527-0835

NPI assigned

Dec 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah P Perez-Imig

Title

President

Phone

(209) 527-7726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710049556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TULLY RD SUITE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504988",
            "telephone_number": "209-527-7726",
            "fax_number": "209-527-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 TULLY RD SUITE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504988",
            "telephone_number": "209-527-7726",
            "fax_number": "209-527-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ-IMIG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-527-7726",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "CA",
            "license": "0127050602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Modesto, CA
• Providers in Modesto, CA by specialty
• Supports Brokerage Agency 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.