ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA — NPI 1114265907 (Licensed & Credentialed Health Maintenance Organization in ALHAMBRA, CA)

CMS-1500 Box 24J / 33a • NPI

1114265907

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

302R00000X

Licensed & Credentialed Health Maintenance Organization

Box 32 Service Location & ZIP+4

1020 S. GARFIELD AVE., ALHAMBRA, CA, 91801-4762

✓ 9-Digit EDI 837 ZIP+4 (91801-4762)

Practice Phone & Referral Fax

(626) 943-7465

Fax: (626) 458-8051

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114265907 (ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114265907` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA
Plain-English Specialty	Licensed & Credentialed Health Maintenance Organization NUCC Code: `302R00000X` (Health Maintenance Organization)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1020 S. GARFIELD AVE., ALHAMBRA, CA, 91801-4762
Practice Telephone / Fax	Tel: (626) 943-7465 \| Fax: (626) 458-8051
Administrative Mailing Address	1020 S. GARFIELD AVE., ALHAMBRA, CA, 91801-4762
Enumeration & Last Sync	Enumerated: 2013-01-29 \| CMS Record Updated: 2024-11-12
Authorized Official	MICHELLE BLACK (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1020 S. GARFIELD AVE., ALHAMBRA, CA, 91801-4762

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Plain-English Taxonomy & CMS Crosswalk (302R00000X)

What Does Taxonomy Code 302R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302R00000X translates to:
"Licensed & Credentialed Health Maintenance Organization"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Health Maintenance Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`302R00000X` — Health Maintenance Organization Plain English: Licensed & Credentialed Health Maintenance Organization	State: CA \| License: `A64044` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED MEDICAL DOCTORS OF CALIFORNIA, IPA (NPI #1114265907)