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MOUNT DIABLO MEDICAL INC NPI 1114479961


NPI Information

NPI: 1114479961
Provider Name: MOUNT DIABLO MEDICAL, INC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
5401 NORRIS CANYON ROAD
SUITE 308
SAN RAMON, CA
ZIP 94583
Phone: (925) 866-8822
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MOUNT DIABLO MEDICAL, INC is a critical care medicine internal medicine in San Ramon, CA. The provider is 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. MOUNT DIABLO MEDICAL, INC NPI is 1114479961. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5401 NORRIS CANYON ROAD
SUITE 308
SAN RAMON, CA
ZIP 94583-408
Phone: (925) 866-8822
Fax: (925) 866-8323

The provider's authorized official is Narendra Malani .
The authorized official title is Director and has the following contact phone number (925) 866-8822.

The enumeration date for this NPI number is 10/27/2016 and was last updated on 11/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207RS0012XInternal MedicineSleep MedicineNo
4207RC0200XInternal MedicineCritical Care MedicineYes

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: 4/28/2024

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