Active NPI
Geniemd Medical Group, Mo, P.C.
- Internal Medicine Physician
- Pleasanton, CA
National Provider Identifier
1639710643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GENIEMD MEDICAL GROUP, MO, P.C.
- Practice address
- 6612 Owens Dr
Pleasanton, CA 94588-3334 - Phone
- (925) 460-9191
- NPI assigned
- Oct 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Mansour Filsoof, MD
- Title
- President
- Phone
- (925) 460-9191
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6612 Owens Dr
Pleasanton, CA 94588-3334
Mailing address
6612 Owens Dr
Pleasanton, CA 94588-3334
Phone (925) 460-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230406000380 | CA | Part B Supplier - Clinic/Group Practice | 5193190072 |
Receives reassigned benefits from 62 practitioners Practice locations: Pleasanton, CA |
National Provider Directory
National Provider DirectoryLocations
9000 Crow Canyon Rd
Ste 630
Danville, CA 94506
3000 Executive Pkwy
Ste 518
San Ramon, CA 94583
820 S MacArthur Blvd
Coppell, TX 75019
Practitioners 62
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1568621910
CA, Internal Medicine
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- St Petersburg, FL
- NPI 1023471547
CA, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675987200000",
"number": "1639710643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6612 OWENS DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883334",
"telephone_number": "925-460-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6612 OWENS DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883334",
"telephone_number": "925-460-9191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENIEMD MEDICAL GROUP, MO, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-01",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A",
"authorized_official_last_name": "FILSOOF",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MANSOUR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-460-9191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.