NPIMap

Organization Active NPI

Geniemd Medical Group, Mo, P.C.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1639710643
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GENIEMD MEDICAL GROUP, MO, P.C.
Practice address
1111 Broadway Ste 300
Oakland, CA 94607-4167
Phone
(925) 460-9191
NPI assigned
Oct 1, 2019
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Dr. David Mansour Filsoof, MDNPI 1861686354
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1111 Broadway Ste 300
Oakland, CA 94607-4167

Mailing address

9000 Crow Canyon Rd
Danville, CA 94506-1189
Phone (925) 460-9191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230406000380 CA Part B Supplier - Clinic/Group Practice 5193190072 Receives reassigned benefits from 62 practitioners
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Locations

9000 Crow Canyon Rd
Danville, CA 94506
Phone (510) 301-5574

9000 Crow Canyon Rd
Ste 630
Danville, CA 94506

3000 Executive Pkwy
Ste 518
San Ramon, CA 94583

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

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": "1789689600000",
    "number": "1639710643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 CROW CANYON RD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061189",
            "telephone_number": "925-460-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BROADWAY STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074167",
            "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": "2026-09-18",
        "certification_date": "2026-09-18",
        "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 Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.