Tassajara Valley Medical Group Pc

LBN: Tassajara Valley Medical Group Pc
Tassajara Valley Medical Group Pc is an health care organization with primary practice located at 1258 Concannon Blvd , Livermore CA 94550-6002. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tassajara Valley Medical Group Pc can be contacted via phone (925) 443-8040, or through Zamary, Raafat K via phone (925) 443-8040.

Contact Information

Primary practice address
1258 Concannon Blvd Livermore CA 94550-6002
Phone: (925) 443-8040
Fax: (925) 443-1065
Website:
Map and Directions
Authorized official contact:
Name: Zamary, Raafat K Doctor of Medicine (MD)
Phone: (925) 443-8040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1134179237
LBN Legal business name Tassajara Valley Medical Group Pc
DBA Doing business as
Authorized official Zamary, Raafat K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134179237 NPPES
California MEDICAID GR0091680

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