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AMADOR FAMILY PHYSICIANS MEDICAL
NPI 1629164868
Family Medicine in Jackson, CA

Active since October 05, 2006
605 NEW YORK RANCH RD, JACKSON, CA 95642(209) 223-2030(209) 223-2303 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amador Family Physicians Medical NPPES

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

AMADOR FAMILY PHYSICIANS MEDICAL (NPI 1629164868) is a healthcare organization registered as a family medicine in Jackson, California and active in the NPI registry since October 2006. The organization lists Deon Lynn Tadlock, President, as its authorized official.

NPPES Registry Identity

NPI1629164868
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMADOR FAMILY PHYSICIANS MEDICAL
Location Address605 NEW YORK RANCH RDJackson, CA 95642-9328
Mailing AddressPo Box 1749Jackson, CA 95642-1749 · (209) 223-2030 · Fax (209) 223-2303
Phone(209) 223-2030
Fax(209) 223-2303
Organization SubpartNo
Authorized OfficialDeon Lynn TadlockPresident · (209) 223-2030
Enumeration DateOctober 5, 2006
Last NPPES UpdateDecember 31, 2012
✔ NPI 1629164868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
605 NEW YORK RANCH RD, Jackson, CA 95642
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0984183

Amador Family Physicians Medical Corporation · Jackson, CA
Expired · Jul 31, 2026
CLIA Number05D0984183
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDeon L. Tadlock MD
Laboratory Phone(209) 223-2030
Laboratory LocationAmador Family Physicians Medical Corporation605 New York Ranch Road, Jackson, CA 95642
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

DEON LYNN TADLOCK M.D.
Family Medicine
605 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 223-2030
BELINDA LYNNETTE BRAGGS M.D.
Family Medicine
605 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 223-2030

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 Amador Family Physicians Medical's NPI number?

The NPI number for Amador Family Physicians Medical is 1629164868. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Amador Family Physicians Medical located?

Amador Family Physicians Medical is located at 605 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 223-2030.

What is Amador Family Physicians Medical's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Amador Family Physicians Medical was last updated on December 31, 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.