Active NPI
Dayana Othonie Carcamo-Molina, MD
- Gastroenterology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A11529
- Practice address
- 2351 Clay St Ste 380
San Francisco, CA 94115-1931 - Phone
- (415) 600-3954
- Fax
- (415) 775-7437
- NPI assigned
- Jun 26, 2008
- Last updated
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9406987 | KS | |
| Gastroenterology Physician | 207RG0100X | A11529 | CA | Primary |
Addresses
Primary practice location
2351 Clay St Ste 380
San Francisco, CA 94115-1931
Mailing address
1007 41St St Apt 441
Emeryville, CA 94608-3778
Phone (310) 948-4221
Other names 1
- Dayana Othonie Carcamo
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111529 | CA | MD | Dentist |
| 9406987 | KS | MD | Internal Medicine Physician |
| A11529 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marin Hospitalist Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients |
Locations
250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545
2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
13601 San Pablo Ave
San Pablo, CA 94806
Phone (510) 231-9400
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
Interoperability endpoints
- dcarcamomolina83691@direct.whhs.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West County Adult Mental Health Services
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Internal Medicine Physician
- Greenbrae, CA
- NPI 1023041753
-
dba East County Adult Mental Health Services
- Adult Mental Health Clinic/Center
- Pittsburg, CA
- NPI 1073691598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1417119827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 41ST ST APT 441",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946083778",
"telephone_number": "310-948-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 CLAY ST STE 380",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151931",
"telephone_number": "415-600-3954",
"fax_number": "415-775-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARCAMO-MOLINA",
"first_name": "DAYANA",
"middle_name": "OTHONIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "9406987",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A11529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAYANA",
"last_name": "CARCAMO",
"middle_name": "OTHONIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.