ASSOCIATED FAMILY PHYSICIANS INC (NPI# 1457771404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457771404 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED FAMILY PHYSICIANS INC |
| Other Organization Name | ASSOCIATED FAMILY PHYSICIANS- GALT |
| Practice Address |
417 C St Galt CA 95632-1958 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 2097451778 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 40670 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Associated Family Physicians- Galt | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962823781 | Associated Family Physicians Inc | Non-Pharmacy Dispensing Site | 8110 Timberlake Way, Sacramento, CA 95823-5401 | 2013-12-20 |
| Street Address |
417 C ST |
| City | GALT |
| State | CA |
| Zip Code | 95632-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659524288 | Galt Joint Union High School | Local Education Agency (LEA) | 417 C St, Suite B, Galt, CA 95632-1958 | 2008-10-28 |
| 1447769286 | Heather Rose Allen | Nurse Practitioner | 417 C St, Galt, CA 95632-1958 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598004905 | Francisca Beatriz Morgan | Case Manager/Care Coordinator | 240 Sasha Rose Dr, Galt, CA 95632 | 2013-02-05 |
| 1407181704 | Strategies for Change | Community/Behavioral Health | 12945 Marengo Road, Galt, CA 95632 | 2009-10-05 |
| 1801964721 | Rosewood Manor | Custodial Care Facility | 13386 Marengo Rd, Rosewood Manor, Galt, CA 95632 | 2006-11-30 |
| 1053418657 | Ronald T Oye | Optometrist | 730 Spaans Dr, Ste A, Galt, CA 95632 | 2006-09-19 |
| 1194197723 | Arti Sharma | Pharmacist | 10470 Twin Cities Rd, Galt, CA 95632 | 2015-10-22 |
| 1255493219 | Kaio Alan Doxey | Chiropractor | 550 Industrial Dr, Ste 250, Galt, CA 95632-1648 | 2006-12-15 |
| 1386713782 | Jesse Davis | Counselor | 409 N Lincoln Way Apt 7, Galt, CA 95632-1651 | 2006-11-07 |
| 1578505301 | Longs Drug Stores California LLC | Pharmacy | 1063 C St, Galt, CA 95632-1700 | 2006-06-13 |
| 1962032151 | Maily Vang | Pharmacist | 1063 C St, Galt, CA 95632-1700 | 2020-01-16 |
| 1790242642 | Tina Le | Pharmacist | 1063 C St, Galt, CA 95632-1700 | 2019-02-27 |
| Find all providers in zip 95632 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.