Active NPI
Devin T Callister, M.D.
- Infectious Disease Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A117768
- Practice address
- 365 Lennon LN
Suite 200
Walnut Creek, CA 94598-5910 - Phone
- (925) 947-2334
- Fax
- (925) 947-5889
- NPI assigned
- Jul 14, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Roseville, CA
- NPI 1326338237
CA, Infectious Disease
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
CA
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Infectious Disease
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
Hospital
-
- General Acute Care Hospital
- Napa, CA
- NPI 1013080084
Hospital
-
- General Acute Care Hospital
- Napa, CA
- NPI 1235218785
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Telemedicine Group PC
Practice addresses (Care Compare)
3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721
Hospital & facility affiliations
- Adventist Health Clearlake
- Providence Queen of the Valley Medical Center
- Adventist Health Ukiah Valley
- Adventist Health Howard Memorial
- Adventist Health St Helena
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150720000068 | CA | Practitioner - Infectious Disease | 8224341326 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117768 | CA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telehealth Specialty Medical Group | Infectious Disease | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Infectious Disease | Current | Accepting new patients |
| Tele-Medicine Services Ny, PLLC | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Infectious Disease Physician | 207RI0200X | A117768 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
365 Lennon LN
Suite 200
Walnut Creek, CA 94598-5910
Mailing address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 948-8143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2017.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503878400000",
"number": "1376856757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-948-8143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 LENNON LN",
"address_2": "SUITE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945985910",
"telephone_number": "925-947-2334",
"fax_number": "925-947-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLISTER",
"first_name": "DEVIN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-14",
"last_updated": "2017-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A117768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.