DR. DARYL DEAN SANDOVAL MARTINEZ (NPI# 1871729483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871729483 |
Entity Type | Individual |
Full Name | DR. DARYL DEAN SANDOVAL MARTINEZ |
Other Name | DR. DARYL SANDOVAL MARTINEZ |
Credential | M.D. |
Practice Address |
2299 Bacon St Ste 2 Concord CA 94520-2045 |
Practice Telephone | 9256762942 |
Practice Fax Number | 9256767108 |
Mailing Telephone | 9256762942 |
Mailing Fax Number | 9256767108 |
Enumeration Date | 2009-06-09 |
Last Update Date | 2015-12-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A111891 | CA | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A111891 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE CROSS PPO | XDP237A63245 | 01 |
Street Address |
2299 BACON ST STE 2 |
City | CONCORD |
State | CA |
Zip Code | 94520-2045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033187588 | Hemal J. Parekh | Internal Medicine | 2299 Bacon St Ste 2, Concord, CA 94520-2045 | 2006-03-10 |
1881838605 | Kiran Madhav Ubhayakar | Internal Medicine | 2299 Bacon St Ste 2, Concord, CA 94520-2045 | 2009-04-23 |
1750563029 | Minh Hiep Nguyen | Internal Medicine | 2299 Bacon St Ste 2, Concord, CA 94520-2045 | 2007-11-28 |
1871504530 | Richard Kops | Internal Medicine | 2299 Bacon St Ste 2, Concord, CA 94520-2045 | 2006-08-10 |
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 | 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 |
---|---|---|---|---|
1144657636 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2013-09-30 |
1861791121 | Sahar Mansoor | Internal Medicine | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2011-03-24 |
1780811091 | Azeem Elahi | Internal Medicine | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2009-06-12 |
1881838605 | Kiran Madhav Ubhayakar | Internal Medicine | 2299 Bacon St Ste 2, Concord, CA 94520-2045 | 2009-04-23 |
1639318348 | Concord Sleep Associates LLC | Internal Medicine | 54 Baker Avenue Ext, Ste 301, Concord, MA 01742-2137 | 2009-02-19 |
1720251077 | Jennifer A Lacy | Internal Medicine | 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-2588 | 2008-04-08 |
1013111327 | Aishwarya Palwai | Internal Medicine | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2007-06-12 |
1952416331 | Blake A Spain | Internal Medicine | 920 Church St N, Concord, NC 28025-2927 | 2006-08-19 |
1104868082 | Alejandro Saranglao Jr. | Internal Medicine | 248 Pleasant St, Suite G100, Concord, NH 03301-2588 | 2006-06-12 |
1578502647 | Cmc-northeast, Inc. | Internal Medicine | 920 Church St N, Northeast Critical Care Assoc, Concord, NC 28025-2927 | 2006-06-05 |
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.