DR. INOCENCIO D. CANDELARIA M.D. NPI 1174791677

NPI Information

NPI: 1174791677
Provider Name: DR. INOCENCIO D. CANDELARIA, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: AMERICAN CURRENT CARE OF CALIFORNIA, A MEDICAL CORPORATION

PECOS Registration: Yes

Address:
2305 CAMINO RAMON
SUITE 100
SAN RAMON, CA
ZIP 94583
Phone: (925) 837-1886
Get Directions

DR. Inocencio D. Candelaria, M.D. is a family medicine in San Ramon, CA with 20 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Inocencio D. Candelaria, M.D. NPI is 1174791677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2305 CAMINO RAMON
SUITE 100
SAN RAMON, CA
ZIP 94583-396
Phone: (925) 837-1886
Fax: (925) 837-3913

The NPI 1174791677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 6/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	43010886368	MICHIGAN	No
2	207Q00000X	Family Medicine	25MA08403600	NEW JERSEY	No
3	207Q00000X	Family Medicine	A106130	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A106130	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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