Individual provider Active NPI

Diokson Rena

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Francisco, CA
National Provider Identifier
1205919008
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
C51983 Issued in CA
Practice address
500 Sutter St Ste 320
San Francisco, CA 94102-1120
Phone
(415) 757-0814
Fax
(415) 757-0820
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X C51983 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X C51983 CA
Interventional Pain Medicine Physician 208VP0014X C51983 CA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X C51983 CA Primary

Addresses

Primary practice location

500 Sutter St Ste 320
San Francisco, CA 94102-1120

Mailing address

500 Sutter St Ste 320
San Francisco, CA 94102-1120
Phone (415) 757-0814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000591 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 7719945070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Management Medical Group IncGroup PAC ID 0547252918, 42 clinicians

Practice addresses (Care Compare)

450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 482-8151

500 Sutter St
Suite 320
San Francisco, CA 94102-1120
Phone (415) 757-0814

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51983CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. Pain Medicine CurrentSince Feb 24, 2020 Accepting new patients
Diokson Rena Medical Corporation Sports Medicine CurrentSince Nov 30, 2014 Accepting new patients
Rehabilitation Associates of the Midwest, S.C. Physical Medicine & Rehabilitation Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Portner Orthopedic Rehabilitation Incorporated Physical Medicine & Rehabilitation PastSince Sep 8, 2024 Accepting new patients
Scott J. Miscovich MD, LLC PastSince Apr 20, 2003 Accepting new patients

Locations

2923 Webster St
Ste 202
Oakland, CA 94609
Phone (510) 451-4142

1 Daniel Burnham Ct
Ste 365C
San Francisco, CA 94109
Phone (415) 202-1920

500 Sutter St
Ste 320
San Francisco, CA 94102
Phone (415) 757-0814

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: drena183875@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205919008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUTTER ST STE 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021120",
            "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 STE 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021120",
            "telephone_number": "415-757-0814",
            "fax_number": "415-757-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENA",
        "first_name": "DIOKSON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C51983",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "C51983",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "C51983",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "C51983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.