AMELIA FAJARDO FAMILY MEDICAL CLINIC PC
NPI 1265733356
General Practice in Watervliet, MI

Q: What is Amelia Fajardo Family Medical Clinic PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since November 05, 2010

450 MEDICAL PARK DR, SUITE 100, WATERVLIET, MI 49098(269) 463-3125 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amelia Fajardo Family Medical Clinic Pc NPPES

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

AMELIA FAJARDO FAMILY MEDICAL CLINIC PC (NPI 1265733356) is a healthcare organization registered as a general practice in Watervliet, Michigan and active in the NPI registry since November 2010. The organization lists Amelia Fajardo, Owner, as its authorized official.

NPPES Registry Identity

NPI1265733356

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameAMELIA FAJARDO FAMILY MEDICAL CLINIC PC

Location Address450 MEDICAL PARK DR, SUITE 100Watervliet, MI 49098-8531

Mailing Address4305 Division Ave SGrand Rapids, MI 49548-3315 · (616) 617-9974

Phone(269) 463-3125

Organization SubpartNo

Authorized OfficialAmelia FajardoOwner · (616) 617-9974

Enumeration DateNovember 5, 2010

Last NPPES UpdateMay 11, 2011

✔ NPI 1265733356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 4301030837

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

450 MEDICAL PARK DR, Watervliet, MI 49098

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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HOSPITAL

Surgery

450 MEDICAL PARK DR, SUITE 200
WATERVLIET, MI 49098

Berrien County (269) 463-3111

MR. DONALD F. BROOKS M.D.

Internal Medicine (Cardiovascular Disease)

450 MEDICAL PARK DR, SUITE # 400
WATERVLIET, MI 49098

Berrien County (269) 463-3044

DR. LOPE ALVARAN VITANGCOL JR. M.D.

Surgery

450 MEDICAL PARK DR, SUITE 100
WATERVLIET, MI 49098

Berrien County (269) 463-6490

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 Amelia Fajardo Family Medical Clinic PC's NPI number?

The NPI number for Amelia Fajardo Family Medical Clinic PC is 1265733356. It was assigned to this organization in the NPPES registry on November 5, 2010.

Where is Amelia Fajardo Family Medical Clinic PC located?

Amelia Fajardo Family Medical Clinic PC is located at 450 Medical Park Dr Suite 100, Watervliet, MI 49098. The listed phone number is (269) 463-3125.

What is Amelia Fajardo Family Medical Clinic PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Amelia Fajardo Family Medical Clinic PC was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.