Pittsburg-Antioch Medical Group a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PITTSBURG-ANTIOCH MEDICAL GROUP A PROFESSIONAL CORPORATION

Doing business as

Springhill Medical Group

Practice address

2220 Gladstone Dr
Suite 3
Pittsburg, CA 94565-5123

Phone

(924) 432-3318

NPI assigned

May 24, 2006

Last updated

Feb 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald R Del Rio, M.D.NPI 1568417889

Title

President

Phone

(925) 635-2978

Specialties & licenses 6

Addresses

Other identifiers 9

Other names 1

• Springhill Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald R Delrio, M.D.

  • Pulmonary Disease Physician
  • Pittsburg, CA
  • NPI 1568417889
  Medicare reassignment Care Compare group NPD Authorized official
• Jose F Basora, M.D.

  • Pulmonary Disease Physician
  • Pittsburg, CA
  • NPI 1669616066
  Medicare reassignment Care Compare group NPD
• Christine Cave, NP

  • Adult Health Nurse Practitioner
  • Pittsburg, CA
  • NPI 1144743386
  Medicare reassignment Care Compare group NPD
• Sam Chitsaz, M.D.

  • Cardiovascular Disease Physician
  • Antioch, CA
  • NPI 1821364084
  Medicare reassignment Care Compare group NPD
• Henry P Gong, M.D.

  • Interventional Cardiology Physician
  • Pittsburg, CA
  • NPI 1215982855
  Medicare reassignment Care Compare group NPD
• Hsien-Wen Hsu, M.D.

  • Pulmonary Disease Physician
  • Pittsburg, CA
  • NPI 1548209646
  Medicare reassignment Care Compare group NPD
• Dong Hoon Lee, M.D.

  • Internal Medicine Physician
  • Pittsburg, CA
  • NPI 1174854038
  Medicare reassignment Care Compare group NPD
• Shalini Madugundi, M.D

  • Internal Medicine Physician
  • Pittsburg, CA
  • NPI 1154635506
  Medicare reassignment Care Compare group NPD
• Pragnesh M. Patel, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pittsburg, CA
  • NPI 1053488866
  Medicare reassignment Care Compare group NPD
• Karthik Reddy, MD

  • Cardiovascular Disease Physician
  • Pittsburg, CA
  • NPI 1881755429
  Medicare reassignment Care Compare group NPD
• Mostafa Shalaby, M.D

  • Sleep Medicine (Internal Medicine) Physician
  • Dublin, CA
  • NPI 1528351210
  Medicare reassignment Care Compare group NPD
• Wengang Zhang, M.D.

  • Internal Medicine Physician
  • Pittsburg, CA
  • NPI 1063451243
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1619922911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GLADSTONE DR",
            "address_2": "SUITE 3",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655123",
            "telephone_number": "924-432-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GLADSTONE DR",
            "address_2": "SUITE 3",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655123",
            "telephone_number": "924-432-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Balfour Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945134955",
            "country_code": "US",
            "telephone_number": "925-432-3318",
            "fax_number": "925-432-0886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PITTSBURG-ANTIOCH MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "DEL RIO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-635-2978",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A836250",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G43569",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A82612",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A502050",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A826120",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS2543",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G435690",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A836250",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0053010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ34060Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G327970",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A651470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springhill Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springhill Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brian Powelson, ATC
• Samantha Poyser, DR

• Internal Medicine Physician in Pittsburg, CA
• Providers in Pittsburg, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.