MEDICARE: ALLIANCE MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363L00000X	Nurse Practitioner
3	207RN0300X	Nephrology Physician
4	207RP1001X	Pulmonary Disease Physician
5	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750327151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	2160 APPIAN WAY
Second Line	:	SUITE 200
City	:	PINOLE
State	:	CA
Zip	:	94564-2524
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2160 APPIAN WAY
Second Line	:	SUITE 200
City	:	PINOLE
State	:	CA
Zip	:	94564-2524
Country	:	US
Telephone Number	:	510-724-9110
Fax Number	:	916-239-3611

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD M. SANKARY
Credential	:	MD
Telephone Number	:	510-724-9110

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	05/23/2008

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Directions to “ALLIANCE MEDICAL GROUP, INC. ” Practice Location

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