Organization Active NPI

Diokson Rena Medical Corporation

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Francisco, CA
National Provider Identifier
1013310556
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
DIOKSON RENA MEDICAL CORPORATION
Practice address
500 Sutter St
Suite 320
San Francisco, CA 94102-1107
Phone
(415) 757-0814
Fax
(415) 757-0820
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diokson RenaNPI 1205919008
Title
Owner
Phone
(415) 757-0814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

500 Sutter St
Suite 320
San Francisco, CA 94102-1107

Mailing address

338 Spear St
Unit 20F
San Francisco, CA 94105-6190
Phone (415) 757-0814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150225001128 CA Part B Supplier - Clinic/Group Practice 8729304308 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1013310556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 SPEAR ST",
            "address_2": "UNIT 20F",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941056190",
            "telephone_number": "415-757-0814",
            "fax_number": "415-757-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUTTER ST",
            "address_2": "SUITE 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021107",
            "telephone_number": "415-757-0814",
            "fax_number": "415-757-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIOKSON RENA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "RENA",
        "authorized_official_first_name": "DIOKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-757-0814"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.