Active NPI
One Medical Group, Inc.
Doing business as One Medical
- Family Medicine Physician
- San Bruno, CA
National Provider Identifier
1487213781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ONE MEDICAL GROUP, INC.
- Doing business as
- One Medical
- Practice address
- 1100 Grundy LN
San Bruno, CA 94066-3065 - Phone
- (650) 227-7890
- Fax
- (650) 227-1107
- NPI assigned
- Jun 10, 2019
- Last updated
- Jul 13, 2023
- Organization subpart
- Yes
- Parent organization
- ONE MEDICAL GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Diamond, MD
- Title
- President
- Phone
- (415) 658-6791
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
1100 Grundy LN
San Bruno, CA 94066-3065
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other names 1
- One Medical
National Provider Directory
National Provider Directory- Tax ID family
- One Medical Group Inc
- Part of
- One Medical Group Inc
Other organizations with this tax ID 20
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689206400000",
"number": "1487213781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 GRUNDY LN",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663065",
"telephone_number": "650-227-7890",
"fax_number": "650-227-1107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE MEDICAL GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ONE MEDICAL GROUP, INC.",
"enumeration_date": "2019-06-10",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A",
"authorized_official_last_name": "DIAMOND",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-658-6791",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "One Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "One Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.