Diablo Valley Perinatal Associates, Inc

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

A68616 Issued in CA

Legal business name

DIABLO VALLEY PERINATAL ASSOCIATES, INC

Practice address

110 Tampico
Suite 100
Walnut Creek, CA 94598-2998

Phone

(925) 891-9033

Fax

(925) 891-9066

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Dennis Traynor, MDNPI 1316981699

Title

President

Phone

(925) 891-9033

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jeffrey D Traynor, M.D.

  • Maternal & Fetal Medicine Physician
  • Walnut Creek, CA
  • NPI 1316981699
  Medicare reassignment Care Compare group NPD Authorized official
• Brian Kellert, D.O.

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1215224761
  Medicare reassignment Care Compare group NPD
• Rosa Hye-Kyung Won, M.D.

  • Maternal & Fetal Medicine Physician
  • Walnut Creek, CA
  • NPI 1952489718
  Medicare reassignment NPD

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1255645172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TAMPICO",
            "address_2": "SUITE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982998",
            "telephone_number": "925-891-9033",
            "fax_number": "925-891-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TAMPICO",
            "address_2": "SUITE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982998",
            "telephone_number": "925-891-9033",
            "fax_number": "925-891-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO VALLEY PERINATAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "TRAYNOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-891-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A68616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A6866160",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A686250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diablo Valley ENT - a Medical Corporation
• Diablo Valley Eye Medical Center
• Diablo Valley Optical
• Diablo Valley Optical
• Diablo Valley Optical
• Diana Superfin MD Inc.
• Felisha Lynn Dias
• Rafael Felipe Diaz Flores, M.D.
• Karla Diaz Rodriguez
• Judith Diaz Sierra

• Maternal & Fetal Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Maternal & Fetal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.