Individual provider Active NPI

Diomedes M Remigio Jr., PA-C

  • Medical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1467580381
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15026 Issued in CA
Practice address
1111 Market St
First Floor
San Francisco, CA 94103-1513
Phone
(415) 863-3883
Fax
(415) 863-7343
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15026 CA Primary

Addresses

Primary practice location

1111 Market St
First Floor
San Francisco, CA 94103-1513

Mailing address

1145 Market St
FL 10
San Francisco, CA 94103-1566
Phone (415) 863-3883

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071214000680 CA Practitioner - Physician Assistant 1456441336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15026CAMDOptometrist

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1467580381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 MARKET ST",
            "address_2": "FL 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031566",
            "telephone_number": "415-863-3883",
            "fax_number": "415-863-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MARKET ST",
            "address_2": "FIRST FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031513",
            "telephone_number": "415-863-3883",
            "fax_number": "415-863-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMIGIO",
        "first_name": "DIOMEDES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.