Individual provider Active NPI

David Safianoff, M.D.

  • Pulmonary Disease Physician
  • Concord, CA
National Provider Identifier
1396756060
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G227470 Issued in CA
Practice address
2485 High School Ave
Suite 301
Concord, CA 94520-1819
Phone
(925) 676-2942
Fax
(925) 676-7108
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G227470 CA Primary

Addresses

Primary practice location

2485 High School Ave
Suite 301
Concord, CA 94520-1819

Mailing address

11 Reliez Valley CT
Lafayette, CA 94549-1905
Phone (925) 939-4068

Other identifiers 3

IdentifierTypeStateIssuer
00G227470MedicaidCA
290014256OtherCARAILROAD MEDICARE
GR0064710MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106001397 CA Order and Referring Only - Pulmonary DiseasePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 9335182674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G227470CAMDPulmonary Disease Physician
22747CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diablo Pulmonary Medical Group, Inc Pulmonary Disease Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1396756060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RELIEZ VALLEY CT",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945491905",
            "telephone_number": "925-939-4068",
            "fax_number": "925-939-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "SUITE 301",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201819",
            "telephone_number": "925-676-2942",
            "fax_number": "925-676-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFIANOFF",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G227470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G227470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290014256",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.