DIABLO VALLEY PRIMARY CARE, INC. (NPI# 1073823332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073823332 |
| Entity Type | Organization |
| Organization Name | DIABLO VALLEY PRIMARY CARE, INC. |
| Practice Address |
2415 High School Ave Suite 800 Concord CA 94520-1800 |
| Practice Telephone | 9256875210 |
| Practice Fax Number | 9256875091 |
| Mailing Telephone | 9256875210 |
| Mailing Fax Number | 9256875091 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Authorized Official Name | DR. CHINNAVUTH PITOU DE MONTEIRO (OWNER) |
| Authorized Official Telephone | 9256875210 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | G66708 | CA | Allopathic & Osteopathic Physicians |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP14287 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | G73896 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1275642910 | 01 |
| CA | NPI | 1558392449 | 01 |
| CA | NPI | 1093815540 | 01 |
| Street Address |
2415 HIGH SCHOOL AVE SUITE 800 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524231 | Leigh Fulford Kjeldsen | Audiologist | 2415 High School Ave, Suite 300, Concord, CA 94520-1800 | 2005-11-08 |
| 1326505280 | Mintra Saefong | Physician Assistant | 2415 High School Ave, Concord, CA 94520-1800 | 2019-02-27 |
| 1699052506 | Robert Baron Green | Audiologist | 2415 High School Ave, Suite 300, Concord, CA 94520-1800 | 2011-11-05 |
| 1225336696 | Melanie Marie Anello | Nurse Practitioner | 2415 High School Ave, Suite 300, Concord, CA 94520-1800 | 2011-03-08 |
| 1144374893 | Cardinal Primary Care Medical Group, Inc | Family Medicine | 2415 High School Ave, Suite 800, Concord, CA 94520-1800 | 2007-01-22 |
| 1811040967 | Gastroenterology Medical Group, Inc. | Internal Medicine | 2415 High School Ave, Suite 100, Concord, CA 94520-1800 | 2007-01-20 |
| 1609929751 | Richard Augustus Messian | Internal Medicine | 2415 High School Ave, Suite 100, Concord, CA 94520-1800 | 2007-01-20 |
| 1013094242 | Joanna Lynn Chan | Audiologist | 2415 High School Ave, #300, Concord, CA 94520-1800 | 2006-11-01 |
| 1508948886 | Maureen Nnene Mbadike-obiora | Family Medicine | 2415 High School Ave, Suite 300, Concord, CA 94520 | 2006-10-19 |
| 1801904545 | Sam Sundar | Internal Medicine | 2415 High School Ave, Suite 700, Concord, CA 94520 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1205395480 | Carolinas Physicians Network Inc | Internal Medicine | 845 Church St N Ste 101, Concord, NC 28025-4373 | 2019-03-18 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| 1306259700 | Charis Gn Stone | Internal Medicine | 200 Medical Park Dr Ste 330, Concord, NC 28025-0937 | 2014-06-04 |
| 1255766267 | Pro Care Medical Group Inc | Internal Medicine | 1155 Rock Creek Way, Concord, CA 94521-5022 | 2013-09-10 |
| 1912339995 | Mehmet Sercan Marangoz | Internal Medicine | 18 Foundry St Ste 102, Concord, NH 03301 | 2013-08-01 |
| 1891032892 | Walter C Dueger | Internal Medicine | 215 Mountain Rd, Concord, NH 03301-6946 | 2013-01-10 |
| 1750680427 | Julian Lel | Internal Medicine | 131 Old Road To Nac Cor Bldg Suite660, Concord, MA 01742 | 2011-03-21 |
| 1164654885 | Patricia Ruze | Internal Medicine | 965 Elm St., Mci-concord, Concord, MA 01742-9106 | 2009-08-13 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.