Individual provider Active NPI

Diana Lynn Sylvestre, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1487668422
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G81856 Issued in CA
Practice address
520 27TH St
Oakland, CA 94612-1706
Phone
(510) 834-5442
Fax
(510) 834-0916
NPI assigned
Jul 27, 2006
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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 G81856 CA Primary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X G81856 CA

Addresses

Primary practice location

520 27TH St
Oakland, CA 94612-1706

Mailing address

520 27TH St
Oakland, CA 94612-1706
Phone (510) 834-5442

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
I20050915000513 CA Practitioner - Internal MedicinePractitioner - Addiction Medicine 5890728232 Reassigns benefits to 1 organization
Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 27TH St
Oakland, CA 94612-1706
Phone (510) 834-5442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81856CAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Dec 29, 2011 Accepting new patients
Alameda Health System CurrentSince Dec 29, 2011 Accepting new patients
Alameda Health System Current Accepting new patients
Organization to Achieve Solutions in Substance-Abuse, Inc. PastSince Mar 31, 2006 Accepting new patients

Locations

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

Organizations & group practices 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1487668422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 27TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121706",
            "telephone_number": "510-834-5442",
            "fax_number": "510-834-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 27TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121706",
            "telephone_number": "510-834-5442",
            "fax_number": "510-834-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTRE",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G81856",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G81856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.