Healthcare Provider Details

I. General information

NPI: 1083729727
Provider Name (Legal Business Name): AMADOR VALLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7667 AMADOR VALLEY BLVD
DUBLIN CA
94568-2341
US

IV. Provider business mailing address

7667 AMADOR VALLEY BLVD
DUBLIN CA
94568-2341
US

V. Phone/Fax

Practice location:
  • Phone: 925-828-9211
  • Fax: 925-828-0847
Mailing address:
  • Phone: 925-828-9211
  • Fax: 925-828-0847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberG283372
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License NumberG28372
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberG28372
License Number StateCA

VIII. Authorized Official

Name: DR. EDMUND PETER KEMPRUD
Title or Position: OWNER/MEDICAL PHYSICIAN
Credential: M.D.
Phone: 925-828-9211