AMERICAN HEALTH MEDICAL GROUP (NPI# 1528472636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528472636 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH MEDICAL GROUP |
| Other Organization Name | ALPHA OMEGA PAIN MEDICINE ASSOCIATES |
| Practice Address |
1900 Ofarrell St Suite 100 San Mateo CA 94403-1386 |
| Practice Telephone | 6506451100 |
| Practice Fax Number | 6506451197 |
| Mailing Telephone | 6506451100 |
| Mailing Fax Number | 6506451197 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MR. WILLIAM GEORGE BROSE (PRESIDENT) |
| Authorized Official Telephone | 6506451100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G55824 | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Alpha Omega Pain Medicine Associates | Former Legal Business Name - Organization |
| Street Address |
1900 OFARRELL ST SUITE 100 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-1386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225179823 | Raymond R Gaeta | Anesthesiology | 1900 Ofarrell St, Ste 100, San Mateo, CA 94403-1386 | 2007-02-08 |
| 1699172031 | Kinsman Rehab Services | Clinic/Center | 1900 Ofarrell St, Suite 110, San Mateo, CA 94403-1386 | 2014-12-01 |
| 1427335967 | Marta E. Corona | Psychologist | 1900 Ofarrell St, Ste. 250, San Mateo, CA 94403-1386 | 2011-11-11 |
| 1205130523 | Help Pain Medical Network | Specialist | 1900 Ofarrell St, Ste. 250, San Mateo, CA 94403-1386 | 2010-12-29 |
| 1326285693 | Patricia Lee Kearney | Dietitian, Registered | 1900 Ofarrell St, Suite 250, San Mateo, CA 94403-1386 | 2009-01-08 |
| 1700022217 | Cynthia Gay Glidewell | Registered Nurse | 1900 Ofarrell St, Suite 250, San Mateo, CA 94403-1386 | 2009-01-05 |
| 1568608636 | Ernestina Araiza | Psychologist | 1900 Ofarrell St, Suite 250, San Mateo, CA 94403-1386 | 2008-12-19 |
| 1154566438 | Joel Obeso | Psychologist | 1900 Ofarrell St, Suite 250, San Mateo, CA 94403-1386 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349090 | Amy Melissa Hofmann | Specialist | 1720 S Amphlett Blvd # S110, San Mateo, CA 94402-2702 | 2019-04-23 |
| 1790256550 | Gemma Margaret Mary Roche | Specialist | 430 Peninsula Ave, San Mateo, CA 94401-1682 | 2018-12-05 |
| 1598236358 | Avalon Skin Care and Electrolysis Inc | Specialist | 430 Peninsula Ave Ste 8, San Mateo, CA 94401-1683 | 2018-12-05 |
| 1477914307 | Mika Kakefuda Derynck | Specialist | 27 Hilltop Rd, San Mateo, CA 94402-1146 | 2016-03-20 |
| 1346605938 | Roderick Cooper | Specialist | 1108 S. El Camino Real, San Mateo, CA 94404 | 2015-12-23 |
| 1245475623 | Barbara Jean Neter | Specialist | 1900 Ofarrell St Ste 250, San Mateo, CA 94403-1387 | 2008-12-12 |
| 1265651780 | Marna M Skaar Md Inc | Specialist | 50 S San Mateo Dr Ste 280, San Mateo, CA 94401-3859 | 2007-04-24 |
| 1225252075 | Sharryn R Jones | Specialist | 1600 E 3rd Ave, #2807, San Mateo, CA 94401-2166 | 2007-04-12 |
| 1700900800 | Sharon Ann Clark | Specialist | 50 South San Mateo Drive, Ste. 105, San Mateo, CA 94401 | 2007-03-16 |
| 1689763781 | Maryam Arjomand | Specialist | 136 North San Mateo Dr, #1010, San Mateo, CA 94401 | 2006-10-12 |
| Find all providers in SAN MATEO | ||||
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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.