Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PHOENIX ADVANCED MEDICAL ASSOCIATES
Active
Organization
PHOENIX ADVANCED MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM AMINI M.D. (MEDICAL DOCTOR)
(925) 934-4123
Entity
Organization
Contact information
Practice address
1399 YGNACIO VALLEY RD, SUITE 14, WALNUT CREEK, CA 94598-2884
(925) 934-4123
(925) 934-4125
Mailing address
1399 YGNACIO VALLEY RD, SUITE 14, WALNUT CREEK, CA 94598-2884
(925) 934-4123
(925) 934-4125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR955A
MEDICARE PTAN (PROVIDER TRANSACTION ACCESS NUMBER)
CA
Enumeration date
02/03/2012
Last updated
02/03/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up