Individual provider Active NPI

Celso Taborga, M.D.

  • Internal Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1114959509
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G80337 Issued in CA
Practice address
1850 Mt Diablo Blvd
Suite 545
Walnut Creek, CA 94596-4428
Phone
(925) 946-1080
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G80337 CA Primary

Addresses

Primary practice location

1850 Mt Diablo Blvd
Suite 545
Walnut Creek, CA 94596-4428

Mailing address

1850 Mt Diablo Blvd
Suite 545
Walnut Creek, CA 94596-4428
Phone (925) 946-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80337CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Hospitalists, a Medical Corporation CurrentSince Jun 22, 2010 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients

Locations

2540 East St
Concord, CA 94520
Phone (925) 674-2228

3806 Clayton Rd
Concord, CA 94521
Phone (925) 689-2266

1850 Mt Diablo Blvd
Ste 545
Walnut Creek, CA 94596
Phone (925) 946-1080

801 Ygnacio Valley Rd
Ste 250
Walnut Creek, CA 94596
Phone (925) 946-1080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1114959509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 MT DIABLO BLVD",
            "address_2": "SUITE 545",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964428",
            "telephone_number": "925-946-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 MT DIABLO BLVD",
            "address_2": "SUITE 545",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964428",
            "telephone_number": "925-946-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABORGA",
        "first_name": "CELSO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.