Organization Active NPI

Diversified Medical Center a

  • Orthopaedic Surgery Physician
  • Livermore, CA
National Provider Identifier
1255662607
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G8588 Issued in CA
Legal business name
DIVERSIFIED MEDICAL CENTER A
Practice address
1642 Holmes St
Livermore, CA 94550-6010
Phone
(925) 443-2062
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Dean F Weinberg, D.C.NPI 1881694917
Title
Clinic Director
Phone
(925) 443-2062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 28920 CA
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G8588 CA Primary

Addresses

Primary practice location

1642 Holmes St
Livermore, CA 94550-6010

Mailing address

1642 Holmes St
Livermore, CA 94550-6010

National Provider Directory

National Provider Directory

Locations

1642 Holmes St
Livermore, CA 94550
Phone (925) 443-2062

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1255662607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 HOLMES ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 HOLMES ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506010",
            "telephone_number": "925-443-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED MEDICAL CENTER A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "925-443-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28920",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G8588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.