Diablo Dialysis Access Center a Ca Professional Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DIABLO DIALYSIS ACCESS CENTER A CA PROFESSIONAL MEDICAL CORP

Doing business as

Diablo Dialysis Access Center, Inc.

Practice address

2222 East St
Ste 305
Concord, CA 94520-2084

Phone

(925) 686-1230

Fax

(925) 686-8443

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Fawn Hutton

Title

Practice Manager

Phone

(925) 686-0315

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diablo Dialysis Access Center, Inc. Doing business as

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1144315276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 EAST ST",
            "address_2": "STE 305",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202084",
            "telephone_number": "925-686-1230",
            "fax_number": "925-686-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 EAST ST",
            "address_2": "STE 305",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202084",
            "telephone_number": "925-686-1230",
            "fax_number": "925-686-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO DIALYSIS ACCESS CENTER A CA PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "FAWN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "925-686-0315",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0105450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diablo Dialysis Access Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meera Dhawan
• Regula Maria Dhedhi, ACSM CES
• Manrit Dhillon, OT
• Chloe Westcott Di Tirro
• Diabetes and Endocrinology Specialists Inc.
• Diablo Nephrology Medical Group, Inc
• Diablo Plaza Surgery Center
• Diablo Pulmonary Medical Group, Inc
• Diablo Valley Primary Care, Inc.
• Diablo Valley Women OB,GYN Medical Group Inc.

• Specialist in Concord, CA
• Providers in Concord, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.