MEDICARE: AVAIL HEALTH MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1982441887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVAIL HEALTH MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	4115 BLACKHAWK PLAZA CIR STE 100
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94506-4616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16360 MONTEREY RD STE 270
Second Line	:
City	:	MORGAN HILL
State	:	CA
Zip	:	95037-5496
Country	:	US
Telephone Number	:	408-300-9787
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CLINICAL OPERATIONS
Name	:	MALLORY EDWARDS
Credential	:	PA-C
Telephone Number	:	716-574-3828

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	06/20/2025

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