Diablo Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100183 Issued in CA

Legal business name

DIABLO MEDICAL SUPPLY

Doing business as

Stephen T. Larsen

Practice address

1147 Alpine Rd
Walnut Creek, CA 94596-4401

Phone

(925) 947-6099

Fax

(925) 947-6624

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen T Larsen

Title

Owner

Phone

(925) 947-6099

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stephen T. Larsen Doing business as

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1730241639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 ALPINE RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964401",
            "telephone_number": "925-947-6099",
            "fax_number": "925-947-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 ALPINE RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964401",
            "telephone_number": "925-947-6099",
            "fax_number": "925-947-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-947-6099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMD RETAIL LICENSE NO.",
            "identifier": "100183",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00939G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen T. Larsen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riaz Shiraz Dhanani, MD
• Shandeep Singh Dhillon
• Donna M. Di Cenzo, MD
• Julia Gabriela Di Rienzo, MFT
• Diablo Cardiology Medical Group, Inc (COR Cardiovascular Specialists)
• Diablo Neurosurgical Medical Group, Inc.
• Diablo Summit Pelvic Health & Physical Therapy PC
• Diablo Valley Drug and Alcohol Services Inc. (Magnolia Recovery)
• Diablo Valley ENT - a Medical Corporation (Diablo Valley ENT)
• Diablo Valley Eye Medical Center

• Durable Medical Equipment & Medical Supplies in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.