Organization Active NPI

Claire T Diep MD Inc

  • Internal Medicine Physician
  • Union City, CA
National Provider Identifier
1609958636
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A55900 Issued in CA
Legal business name
CLAIRE T DIEP MD INC
Practice address
33509 Western Avenue
Union City, CA 94587
Phone
(510) 441-8081
Fax
(510) 441-8080
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Claire Thuc Duyen Diep, M.D.NPI 1366508707
Title
President
Phone
(510) 441-8081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A55900 CA Primary

Addresses

Primary practice location

33509 Western Avenue
Union City, CA 94587

Mailing address

33509 Western Avenue
Union City, CA 94587
Phone (510) 441-8081

Other identifiers 1

IdentifierTypeStateIssuer
00A559000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050620001065 CA Part B Supplier - Clinic/Group Practice 6406898642 Receives reassigned benefits from 1 practitioner
Practice locations: Union City, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1609958636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33509 WESTERN AVENUE",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "94587",
            "telephone_number": "510-441-8081",
            "fax_number": "510-441-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33509 WESTERN AVENUE",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "94587",
            "telephone_number": "510-441-8081",
            "fax_number": "510-441-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIRE T DIEP MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "THUC DUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-441-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A559000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.