NPIMap

Organization Active NPI

Associated Family Physicians of Vallejo

Doing business as Associated Family Physicians Medical Group of Vallejo-Benica Inc

  • Family Medicine Physician
  • Vallejo, CA
National Provider Identifier
1801857396
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G67566 Issued in CA
Legal business name
ASSOCIATED FAMILY PHYSICIANS OF VALLEJO
Doing business as
Associated Family Physicians Medical Group of Vallejo-Benica Inc
Practice address
100 Hospital Dr
#304
Vallejo, CA 94589-2580
Phone
(707) 643-6483
Fax
(707) 643-3028
NPI assigned
Apr 1, 2006
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Sean Patrick Hennessey, MDNPI 1750342242
Title
President Owner
Phone
(707) 643-6483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X C41883 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G67566 CA Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G64641 CA

Addresses

Primary practice location

100 Hospital Dr
#304
Vallejo, CA 94589-2580

Mailing address

100 Hospital Dr
#304
Vallejo, CA 94589-2580
Phone (707) 643-6483

Other names 1

  • Associated Family Physicians Medical Group of Vallejo-Benica Inc Doing business as

National Provider Directory

National Provider Directory

Locations

100 Hospital Dr
Ste 304
Vallejo, CA 94589
Phone (707) 643-6483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1801857396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "address_2": "#304",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892580",
            "telephone_number": "707-643-6483",
            "fax_number": "707-643-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "address_2": "#304",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892580",
            "telephone_number": "707-643-6483",
            "fax_number": "707-643-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FAMILY PHYSICIANS OF VALLEJO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-01",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "HENNESSEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "707-643-6483",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C41883",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67566",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G64641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Family Physicians Medical Group of Vallejo-Benica Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.