Diego F Ferro MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A106012 Issued in CA

Legal business name

DIEGO F FERRO MD INC

Practice address

420 W Acacia St
Suite 1
Stockton, CA 95203-2441

Phone

(209) 948-1583

Fax

(209) 948-3564

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Diego F Ferro, MDNPI 1700027877

Title

President of Corporation

Phone

(209) 948-1583

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Diego F. Ferro, M.D.

  • Specialist
  • Stockton, CA
  • NPI 1700027877
  Medicare reassignment NPD Authorized official
• Julie Ann Basler

  • Nurse Practitioner
  • Stockton, CA
  • NPI 1770289043
  Medicare reassignment NPD

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1174880835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-1583",
            "fax_number": "209-948-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-1583",
            "fax_number": "209-948-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO F FERRO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "FERRO",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "209-948-1583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174880835",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susana Diaz
• Valerie M Diaz
• Yurithzi Anahi Diaz
• Renea Dickerson
• Tarae Dickerson
• Albert Diep
• Amy Lynn Diep, PHARM D
• Adam William Diestler, MFTI
• Monica Alvear Dieterle
• Daniel Scott Dietrich, MD

• Internal Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Internal Medicine Physician in California

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