Ambulatory Med. Assoc Cho

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

G34580 Issued in CA

Legal business name

AMBULATORY MED. ASSOC CHO

Practice address

747 52ND St
Oakland, CA 94609-1809

Phone

(510) 428-3129

Fax

(510) 547-2702

NPI assigned

Feb 23, 2007

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

Patricia Chase, MDNPI 1558381707

Title

Head of Dept

Phone

(510) 428-3129

Specialties & licenses 1

Addresses

Other identifiers 2

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 Medical Associates of Chrco

  • Primary Care Clinic/Center
  • Oakland, CA
  • NPI 1659301513
  NPD tax ID

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.

• Patricia Anne Chase, M.D.

  • Pediatrics Physician
  • Oakland, CA
  • NPI 1558381707
  Authorized official Same address or phone

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871628214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 W MARCH LN",
            "address_2": "STE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192369",
            "telephone_number": "209-473-6555",
            "fax_number": "209-473-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3129",
            "fax_number": "510-547-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY MED. ASSOC CHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "HEAD OF DEPT",
        "authorized_official_telephone_number": "510-428-3129",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "G34580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CHASE CA MD LICENSE",
            "identifier": "G34580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0095800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Ambriz, PA-C
• Kathleen Jean Ambrose
• Cintia Ambrosio de Lueza
• Joel Paul Ambrosio, PA-C
• Ambulatory Consultants Medical Group Inc
• Ambulatory Medical Associates of Chrco
• Ginger Rose Amedio
• Ameri-Care Transit LLC
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)

• Pediatric Critical Care Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Critical Care Medicine Physician 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.