Immanuel Atienza Asuncion, M.D.
Individual provider Active NPI Family Medicine Physician · San Pablo, CA
NPI 1245254580 · NPPES record last updated Mar 11, 2019
Key facts
- NPI
- 1245254580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A89792 (CA)
- Practice address
- 2101 Vale Rd Ste 201
San Pablo, CA 94806 - Phone
- (510) 233-9140
- Fax
- (510) 233-9142
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- John Muir Physician Network
Practice addresses (Care Compare)
2101 Vale Rd
San Pablo, CA 94806-3835
Phone (925) 233-9300
Hospital & facility affiliations
- Health Link Home Health Agency
- Mary'S Help Home Health Services, Inc
- American Home Health Care, LLC
- Sutter Care at Home
- John Muir Medical Center - Concord Campus
- John Muir Medical Center - Walnut Creek Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060817000615 | CA | Practitioner - Family Practice |
8224031976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current |
Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
3100 San Pablo Ave
Ste 310
Berkeley, CA 94702
Phone (510) 985-5020
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
2101 Vale Rd
Ste 201
San Pablo, CA 94806
Phone (510) 233-9140
2101 Vale Rd
San Pablo, CA 94806
Phone (510) 233-9300
1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828
Interoperability endpoints
- iasuncion91051@ehr.johnmuirhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A89792 | CA | Yes |
Addresses
Primary practice location
2101 Vale Rd Ste 201
San Pablo, CA 94806
Mailing address
1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2888
Other practice location 1
2970 Hilltop Mall Rd
Suite 304
Richmond, CA 94806-1947
Phone (510) 204-8090
Other practice location 2
2970 Hilltop Mall Rd
Suite 304
Richmond, CA 94806-1947
Phone (510) 204-8090
Other providers in San Pablo, CA
- Angelica Beatriz Arredondo
- Art of Care Therapy, a Marriage & Family Therapy Co.
- Vera J. Ash
- Aspiranet Welcome Home Baby
- Heftsi Assaf
- Kathleen August
- Jaskaran Aulakh
- Matthew Silas Auyoung
- Martha Ayala
- Ekene Azuka
All providers in San Pablo, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.