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ACTIVE MEDICAL GROUP OF NORTHERN CA A PROFFESIONAL CORPORATION
NPI 1639254501
Internal Medicine in Daly City, CA

Active since October 26, 2006
1800 SULLIVAN AVE, SUITE 504, DALY CITY, CA 94015(650) 757-8900 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Active Medical Group Of Northern Ca A Proffesional Corporation NPPES

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

ACTIVE MEDICAL GROUP OF NORTHERN CA A PROFFESIONAL CORPORATION (NPI 1639254501) is a healthcare organization registered as an internal medicine in Daly City, California and active in the NPI registry since October 2006. The organization lists George F Smith, President, as its authorized official.

NPPES Registry Identity

NPI1639254501
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACTIVE MEDICAL GROUP OF NORTHERN CA A PROFFESIONAL CORPORATION
Location Address1800 SULLIVAN AVE, SUITE 504Daly City, CA 94015-2228
Mailing Address1800 Sullivan Ave, Suite 504Daly City, CA 94015-2228 · (650) 757-8900
Phone(650) 757-8900
Organization SubpartNo
Authorized OfficialGeorge F SmithPresident · (650) 757-8900
Enumeration DateOctober 26, 2006
Last NPPES UpdateNovember 9, 2017
✔ NPI 1639254501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G59110
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.
1800 SULLIVAN AVE, Daly City, CA 94015
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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ01434ZCA
Medicare UPINA5342CA

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JOHN W. WILSON, MD, INC.
Family Medicine
1800 SULLIVAN AVE, ROOM 503
DALY CITY, CA 94015
San Mateo County (650) 994-9090
BERT JAY JOHNS III MD
Surgery
1800 SULLIVAN AVE, SUITE 507
DALY CITY, CA 94015
San Mateo County (650) 994-9936
DR. JOSEPH RAYMOND MEYERS M.D.
Orthopaedic Surgery
1800 SULLIVAN AVE, #308
DALY CITY, CA 94015
San Mateo County (650) 755-4000
DR. GARY W OLIVER MD
Pathology (Dermatopathology)
1800 SULLIVAN AVE, SUITE 403
DALY CITY, CA 94015
San Mateo County (650) 994-3238
DR. JOSEPHUS-IAN LUMONGSUD SANJORJO MD
Internal Medicine (Nephrology)
1800 SULLIVAN AVE, SUITE 507
DALY CITY, CA 94015
San Mateo County (650) 817-7188
ELLICK TSANG M D CORPORATION
Internal Medicine
1800 SULLIVAN AVE, SUITE 304
DALY CITY, CA 94015
San Mateo County (650) 992-8484
MRS. ANADELIA B KIM NP
Nurse Practitioner
1800 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-5300
DR. YIN-YIN MYINT M.D.
Internal Medicine
1800 SULLIVAN AVE, STE 601
DALY CITY, CA 94015
San Mateo County (650) 992-2890

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 Active Medical Group Of Northern Ca A Proffesional Corporation's NPI number?

The NPI number for Active Medical Group Of Northern Ca A Proffesional Corporation is 1639254501. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Active Medical Group Of Northern Ca A Proffesional Corporation located?

Active Medical Group Of Northern Ca A Proffesional Corporation is located at 1800 Sullivan Ave Suite 504, Daly City, CA 94015. The listed phone number is (650) 757-8900.

What is Active Medical Group Of Northern Ca A Proffesional Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Active Medical Group Of Northern Ca A Proffesional Corporation was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.