Organization
AMADOR VALLEY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND PETER KEMPRUD M.D. (OWNER/MEDICAL PHYSICIAN)
(925) 828-9211
Entity
Organization
Contact information
Practice address
7667 AMADOR VALLEY BLVD, DUBLIN, CA 94568-2341
(925) 828-9211
(925) 828-0847
Mailing address
7667 AMADOR VALLEY BLVD, DUBLIN, CA 94568-2341
(925) 828-9211
(925) 828-0847
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G28372
CA
261QU0200X
Urgent Care Clinic/Center
G283372
CA
261QX0100X
Occupational Medicine Clinic/Center
G28372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15212-1
FEDERAL AVIATION ADMIN.
CA
01
—
G28372
LICENSE
CA
Enumeration date
08/21/2006
Last updated
09/11/2025
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