Individual provider Active NPI

Hossein Abed-Amoli, M.D.

  • Family Medicine Physician
  • Gridley, CA
National Provider Identifier
1861595233
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56121 Issued in CA
Practice address
520 Kentucky St
Gridley, CA 95948-2116
Phone
(530) 846-6231
Fax
(530) 846-4051
NPI assigned
Sep 7, 2006
Last updated
Jul 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A56121 CA Primary

Addresses

Primary practice location

520 Kentucky St
Gridley, CA 95948-2116

Mailing address

PO Box a D
Yuba City, CA 95992-1396
Phone (530) 751-3769

Other identifiers 1

IdentifierTypeStateIssuer
00A561214OtherCAMEDICARE-UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Dennis Emergency Medical Group Inc Family Medicine Past Accepting new patients
Clovis Urgent Care Medical Center Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine PastSince Jun 1, 2009 Accepting new patients
Aaftab Medical Center Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1861595233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A D",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959921396",
            "telephone_number": "530-751-3769",
            "fax_number": "530-751-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 KENTUCKY ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482116",
            "telephone_number": "530-846-6231",
            "fax_number": "530-846-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABED-AMOLI",
        "first_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-UNSPECIFIED",
            "identifier": "00A561214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gridley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.