Active NPI
Diablo Neurosurgical Medical Group, Inc.
- Neurological Surgery Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- DIABLO NEUROSURGICAL MEDICAL GROUP, INC.
- Practice address
- 122 La Casa Via Ste 222
Walnut Creek, CA 94598-3014 - Phone
- (925) 937-0404
- Fax
- (925) 937-1340
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terence Chen, MD
- Title
- President
- Phone
- (925) 937-0404
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
122 La Casa Via Ste 222
Walnut Creek, CA 94598-3014
Mailing address
122 La Casa Via Ste 222
Walnut Creek, CA 94598-3014
Phone (925) 937-0404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ72795Z | Other | BLUE SHIELD OF CA | |
| C41006 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2400 Balfour Rd
Ste 237
Brentwood, CA 94513
Phone (925) 516-3020
1455 Montego
Ste 200
Walnut Creek, CA 94598
Phone (925) 937-0404
122 La Casa Via
Ste 222
Walnut Creek, CA 94598
Phone (925) 937-0404
204 SE Stonemill Dr
Ste 200
Vancouver, WA 98684
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Walnut Creek, CA
- NPI 1720180946
-
- Vascular Neurology Physician
- Walnut Creek, CA
- NPI 1518153824
-
- Neurological Surgery Physician
- Travis Afb, CA
- NPI 1104892629
-
- Critical Care Medicine (Internal Medicine) Physician
- Walnut Creek, CA
- NPI 1760415855
-
- Neurological Surgery Physician
- Anchorage, AK
- NPI 1225140312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1265445993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 LA CASA VIA STE 222",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983014",
"telephone_number": "925-937-0404",
"fax_number": "925-937-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 LA CASA VIA STE 222",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983014",
"telephone_number": "925-937-0404",
"fax_number": "925-937-1340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABLO NEUROSURGICAL MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "TERENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-937-0404",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ72795Z",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C41006",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
- Shandeep Singh Dhillon
- Donna M. Di Cenzo, MD
- Julia Gabriela Di Rienzo, MFT
- Diablo Cardiology Medical Group, Inc
- Diablo Medical Supply
- Diablo Summit Pelvic Health & Physical Therapy PC
- Diablo Valley Drug and Alcohol Services Inc.
- Diablo Valley ENT - a Medical Corporation
- Diablo Valley Eye Medical Center
- Diablo Valley Optical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.