Hamilton Avenue Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A48809 Issued in CA

Legal business name

HAMILTON AVENUE MEDICAL GROUP, INC.

Practice address

295 Oconnor Dr
San Jose, CA 95128-1624

Phone

(408) 279-8171

Fax

(408) 279-0412

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jean Luong, M.D.NPI 1780615641

Title

President

Phone

(408) 279-8171

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Jean F Luong, M.D

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1780615641
  Medicare reassignment Care Compare group NPD Authorized official
• David Alan Cahn, MD

  • Specialist
  • San Jose, CA
  • NPI 1689762205
  Medicare reassignment Care Compare group NPD
• Masha Matvey Nakelchik, M.D.

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1255346623
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1871712737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281624",
            "telephone_number": "408-279-8171",
            "fax_number": "408-279-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281624",
            "telephone_number": "408-279-8171",
            "fax_number": "408-279-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON AVENUE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-279-8171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ73614Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Hameed, LCSW
• Saadia Hameed
• Douglas Martin Hames, RAS
• Melody Ruth Anna Hames, CPS
• Hamid M Mehdizadeh, Inc
• Anne Marie Hamilton, FNP-BC
• Haley Rain Hamilton
• Jacqulen Raylene Hamilton, M.A., CCC/SLP
• Liliana Kossoy Hamlett, MD
• Forrest Robert Hamlin Sr., DO

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, 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 Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.