Healthcare Provider Details
I. General information
NPI: 1083531313
Provider Name (Legal Business Name): AMAE HEALTH MEDICAL ASSOCIATES CALIFORNIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 OFARRELL ST STE 250
SAN MATEO CA
94403-1387
US
IV. Provider business mailing address
3061 FILLMORE ST
SAN FRANCISCO CA
94123-4009
US
V. Phone/Fax
- Phone: 347-407-0343
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SCOTT
FEARS
Title or Position: PRESIDENT
Credential: MD
Phone: 213-399-4163