MOUNT DIABLO MEDICAL, INC (NPI# 1114479961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114479961 |
| Entity Type | Organization |
| Organization Name | MOUNT DIABLO MEDICAL, INC |
| Practice Address |
5401 Norris Canyon Road Suite 308 San Ramon CA 94583-5408 |
| Practice Telephone | 9258668822 |
| Practice Fax Number | 9258668323 |
| Mailing Telephone | 9258668822 |
| Mailing Fax Number | 9258668323 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | DR. NARENDRA MALANI (DIRECTOR) |
| Authorized Official Telephone | 9258668822 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5401 NORRIS CANYON ROAD SUITE 308 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-5408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063800258 | Kulveen Sachdeva, Md Inc. | Neuromusculoskeletal Medicine & OMM | 5401 Norris Canyon Road, Suite 110, San Ramon, CA 94583-5402 | 2014-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1447581624 | M Michael Kazemi Md A Medical Corporation | Internal Medicine | 5401 Norris Canyon Rd, Suite 308, San Ramon, CA 94583-5409 | 2010-01-27 |
| 1225369507 | Diablo Valley Critical Care PC | Internal Medicine | 5401 Norris Canyon Rd, 308, San Ramon, CA 94583-5409 | 2010-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245082 | Oc Pulmonary & Sleep, Inc | Internal Medicine | 14642 Newport Ave #101, Irvine, CA 92780-6058 | 2020-11-08 |
| 1295332633 | Compassionate Critical Care Group, Inc. | Internal Medicine | 22543 Ventura Blvd Ste 220, Woodland Hills, CA 91364-1403 | 2020-10-08 |
| 1972149748 | Bay Area Neurointensivists Inc | Internal Medicine | 3066 Deer Meadow Dr, Danville, CA 94506-2135 | 2019-11-26 |
| 1356903298 | Benjamin R Deaton Md Inc. | Internal Medicine | 7468 Muirwood Ct, Pleasanton, CA 94588-4232 | 2019-07-01 |
| 1851950232 | Riverside Medical Clinic Inc | Internal Medicine | 4100 Central Ave Ste 201, Riverside, CA 92506-2930 | 2019-06-10 |
| 1407414329 | Riverside Medical Clinic Inc | Internal Medicine | 2079 Compton Ave Ste A101, Corona, CA 92881-7284 | 2019-06-05 |
| 1144718875 | Jeffrey Tobias | Internal Medicine | 10 Lavender Ter, Petaluma, CA 94952-4938 | 2018-04-27 |
| 1780187229 | Jesse Robles | Internal Medicine | 651 Sunnyside Ave, San Diego, CA 92114-4945 | 2018-03-12 |
| 1710403183 | Excelcare | Internal Medicine | 2400 Chester Ave, Bakersfield, CA 93301-4020 | 2017-08-17 |
| 1255865549 | Liou Medical Inc | Internal Medicine | 17310 Evening Star Ave, Cerritos, CA 90703-8318 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
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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.