DIABLO DIALYSIS ACCESS CENTER A CA PROFESSIONAL MEDICAL CORP (NPI# 1144315276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144315276 |
| Entity Type | Organization |
| Organization Name | DIABLO DIALYSIS ACCESS CENTER A CA PROFESSIONAL MEDICAL CORP |
| Other Organization Name | DIABLO DIALYSIS ACCESS CENTER, INC. |
| Practice Address |
2222 East St Ste 305 Concord CA 94520-2084 |
| Practice Telephone | 9256861230 |
| Practice Fax Number | 9256868443 |
| Mailing Telephone | 9256861230 |
| Mailing Fax Number | 9256868443 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | MRS. FAWN HUTTON (PRACTICE MANAGER) |
| Authorized Official Telephone | 9256860315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0105450 | 05 |
| Other Name | Type Code |
|---|---|
| Diablo Dialysis Access Center, Inc. | Doing Business As Name - Organization |
| Street Address |
2222 EAST ST STE 305 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349831 | Stephen Paul Taylor | Urology | 2222 East St, Ste 250, Concord, CA 94520 | 2005-07-08 |
| 1134648595 | Tychelle Allen | Nurse Practitioner | 2222 East St, Concord, CA 94520-2084 | 2017-09-16 |
| 1407032162 | Zita Shiue | Internal Medicine | 2222 East St, Suite 305, Concord, CA 94520-2084 | 2008-01-11 |
| 1396926861 | E Shirazi Dds Inc | Dentist | 2222 East St, Suite 270, Concord, CA 94520-2084 | 2007-11-26 |
| 1801016498 | David L Brothers | Dentist | 2222 East St, #315, Concord, CA 94520-2084 | 2007-04-26 |
| 1417005588 | Sunaina Deepak | Dietitian, Registered | 2222 East St, Suite 305, Concord, CA 94520-2084 | 2007-01-08 |
| 1598823106 | Ali Iranmanesh | Dentist | 2222 East St, Suite #355, Concord, CA 94520-2084 | 2006-12-05 |
| 1366540148 | Aaron Scott Cohen | Dentist | 2222 East St, 350, Concord, CA 94520-2084 | 2006-09-20 |
| 1396843181 | Mark D. Stevenson | Dentist | 2222 East St, 350, Concord, CA 94520-2084 | 2006-09-20 |
| 1700984523 | A. Scott Cohen, D.d.s., Mark D. Stevenson, D.d.s., A Professional Corp | Dentist | 2222 East St, 350, Concord, CA 94520-2084 | 2006-09-20 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285173427 | Monica Rene Montoya | Specialist | 4440 Eagle Peak Rd, B, Concord, CA 94521-3430 | 2017-02-21 |
| 1841641420 | Julia Amanda Porter | Specialist | 481 Burrage Rd Ne, Concord, NC 28025-2623 | 2016-06-25 |
| 1740420397 | Irena Mcquarrie | Specialist | 39 Thayer Pond Rd, Concord, NH 03301 | 2009-02-23 |
| 1174775746 | Twila S Broadway | Specialist | 165 Old Road To Nine Acre Corner, Concord, MA 01742 | 2008-10-15 |
| 1326246950 | Kids Interactive Developmental Services LLC | Specialist | 1154 Belmont Ct, Concord, NC 28027-8666 | 2007-07-05 |
| 1548465818 | Marvin H. Kendrick, Md, PC | Specialist | 131 Old Road To 9 Acre Cor Ste 800, Concord, MA 01742-4162 | 2007-06-18 |
| 1588865000 | Betsy J Bumbarger | Specialist | 5130 Nw Cabarrus Dr, Concord, NC 28027-7624 | 2007-05-31 |
| 1285835264 | Stephen A. Smith, M.d., P.C. | Specialist | 54 Baker Avenue, Suite 303, Concord, MA 01742-2189 | 2007-05-29 |
| 1407069719 | Diablo Valley Pediatric Medical Group,inc | Specialist | 2700 Grant St Ste 110, Concord, CA 94520-2268 | 2007-05-07 |
| 1467674879 | Karen Christine Hoyles | Specialist | 1634 Placer Dr, Concord, CA 94521-1832 | 2007-05-03 |
| 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.