Individual provider Active NPI

Dayana Othonie Carcamo-Molina, MD

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1417119827
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A11529 Issued in CA
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20140829002043 CA Practitioner - Gastroenterology 7810115003 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111529CAMDDentist
9406987KSMDInternal Medicine Physician
A11529CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Jun 1, 2014 Accepting new patients
Contra Costa County CurrentSince May 8, 2025 Accepting new patients
Contra Costa County Current Accepting new patients
Contra Costa County CurrentSince May 8, 2025 Accepting new patients
County of San Mateo CurrentSince Dec 14, 2014 Accepting new patients
County of San Mateo CurrentSince Dec 14, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.