Diablo Nephrology Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DIABLO NEPHROLOGY MEDICAL GROUP, INC

Practice address

2222 East Street
Ste 305
Concord, CA 94520-2066

Phone

(925) 686-1230

Fax

(925) 686-8443

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Fawn Hutton, MBA

Title

Practice Manager

Phone

(925) 686-0315

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11865/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Carol Rogers Diraimondo, MD

  • Nephrology Physician
  • Walnut Creek, CA
  • NPI 1265433288
  NPD (past)
• Helen Kalasa Mwanza, NP

  • Family Nurse Practitioner
  • Berkeley, CA
  • NPI 1538635966
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1194734731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 EAST STREET",
            "address_2": "STE 305",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202066",
            "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 STREET",
            "address_2": "STE 305",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202066",
            "telephone_number": "925-686-1230",
            "fax_number": "925-686-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO NEPHROLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-09-15",
        "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_credential": "MBA"
    },
    "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": "GR0020610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regula Maria Dhedhi, ACSM CES
• Manrit Dhillon, OT
• Chloe Westcott Di Tirro
• Diabetes and Endocrinology Specialists Inc.
• Diablo Dialysis Access Center a Ca Professional Medical Corp
• Diablo Plaza Surgery Center
• Diablo Pulmonary Medical Group, Inc
• Diablo Valley Primary Care, Inc.
• Diablo Valley Women OB,GYN Medical Group Inc.
• Kendall Dials

• 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 Sep 15, 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.