Diane Groth Mimran, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A91557 Issued in CA

Practice address

6001 Norris Canyon Rd
San Ramon Regional Medical Center
San Ramon, CA 94583-5400

Phone

(925) 275-8282

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Florida College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Team Physicians of Northern California Medical Group IncGroup PAC ID 7113215146, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Team Physicians of Northern California Medical Group Inc

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1649692716
  Medicare reassignment Care Compare group NPD
• San Francisco Physicians International Medical Group, Inc

  • Emergency Medicine Physician
  • San Ramon, CA
  • NPI 1841220720
  NPD (past)
• Southern Solano Emergency Medical Group, Inc

  • Emergency Medicine Physician
  • Vallejo, CA
  • NPI 1629006655
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• San Ramon Regional Medical Center, LLC

  • General Acute Care Hospital
  • San Ramon, CA
  • NPI 1932131489
  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285670877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 TULIP WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94582",
            "telephone_number": "925-964-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NORRIS CANYON RD",
            "address_2": "SAN RAMON REGIONAL MEDICAL CENTER",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835400",
            "telephone_number": "925-275-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMRAN",
        "first_name": "DIANE",
        "middle_name": "GROTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A91557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A91557",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julisa Miller
• Maryann Crawford Miller, OTR/L
• Sheri Jane Miller
• Nathan Milliken, CPHT
• Niera M Mills
• Sarah Minhas
• Anna Minton, SLP
• Trevor Minton, D.C.
• Julia Miranda
• Miry Chiropractic, Inc.

• Emergency Medicine Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.