ALAMEDA CENTRE PHYSICIANS
NPI 1255536173
Internal Medicine in Alameda, CA

Active since June 20, 2007CLIA 05D1068668 · Waiver
501 S SHORE CTR W, SUITE 103C, ALAMEDA, CA 94501(510) 769-1118(510) 769-1119 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alameda Centre Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAMEDA CENTRE PHYSICIANS (NPI 1255536173) is a healthcare organization registered as an internal medicine in Alameda, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists James S Kong, President, as its authorized official.

NPPES Registry Identity

NPI1255536173
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEMERYVILLE MULTISPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION
Location Address501 S SHORE CTR W, SUITE 103CAlameda, CA 94501-5762
Mailing AddressPo Box 1560Alameda, CA 94501-0173 · (510) 769-1118 · Fax (510) 769-1119
Fax(510) 769-1119
Organization SubpartNo
Authorized OfficialJames S KongPresident · (510) 769-1118
Enumeration DateJune 20, 2007
Last NPPES UpdateDecember 7, 2012
✔ NPI 1255536173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A84509
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedIndependent Medical ExaminerTaxonomy 202C00000X · License A76128 (CA)
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License A84509 (CA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License A76128 (CA)
501 S SHORE CTR W, Alameda, CA 94501

Other Names 1

Doing Business AsAlameda Centre Physicians

Other Identifiers 3

Medicare UPINI30803CA
Medicare PIN00A845090CA
Medicare PIN00A761280CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alameda Centre Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Alameda Centre Physicians, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Allergy/Immunology
NPI 1366426470
501 S SHORE CTR W SUITE 103C
Alameda, CA 94501
(510) 769-1118
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467531327
501 S SHORE CTR W SUITE C
Alameda, CA 94501
(510) 769-1118
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1068668

Emeryville Multispecialty Medical Group Professional Corp Dba Alameda Centre Physicians · Alameda, CA
Active · expires May 16, 2027
CLIA Number05D1068668
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorJames S. Kong, MD
Laboratory Phone(510) 769-1118
Laboratory LocationEmeryville Multispecialty Medical Group Professional Corp Dba Alameda Centre Physicians501 South Shore Center West, Suite 103C, Alameda, CA 94501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emeryville Multispecialty Medical Group Professional Corporation's NPI number?

The NPI number for Emeryville Multispecialty Medical Group Professional Corporation is 1255536173. It was assigned to this organization in the NPPES registry on June 20, 2007. The provider is doing business as Alameda Centre Physicians.

Where is Emeryville Multispecialty Medical Group Professional Corporation located?

Emeryville Multispecialty Medical Group Professional Corporation is located at 501 S Shore Ctr W Suite 103C, Alameda, CA 94501. The listed phone number is (510) 769-1118.

What is Emeryville Multispecialty Medical Group Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emeryville Multispecialty Medical Group Professional Corporation enrolled in Medicare?

Yes. Emeryville Multispecialty Medical Group Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emeryville Multispecialty Medical Group Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Emeryville Multispecialty Medical Group Professional Corporation, in Allergy/Immunology and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Emeryville Multispecialty Medical Group Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1068668) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emeryville Multispecialty Medical Group Professional Corporation was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.