Digestive Diagnostic Center Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

22D00049D Issued in CA

Legal business name

DIGESTIVE DIAGNOSTIC CENTER INC

Practice address

333 Gellert Blvd
Ste 111
Daly City, CA 94015

Phone

(650) 757-7900

Fax

(650) 757-1196

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Rowena Garcia-Chuapoco, MD

Title

Vice President

Phone

(650) 756-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1275548158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE STE 520",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152204",
            "telephone_number": "650-757-7900",
            "fax_number": "650-757-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "STE 111",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-757-7900",
            "fax_number": "650-757-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA-CHUAPOCO",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "650-756-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "22D00049D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01676F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Reyes Deza, D.D.S.
• Nicholas Diak
• Jennifer J. Diehn, MD
• Selena Diep
• Geena Difatta, DPT
• Dennis Dimacali
• Sophia Dinh
• Jesse John Aromas Dion Jr., M.D.
• Divya R Kini MD Inc
• Dianna DO

• Endoscopy Clinic/Center in Daly City, CA
• Providers in Daly City, CA by specialty
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.