Vasili a Dzerhachou MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VASILI A DZERHACHOU MD, INC

Practice address

134 Saint Patricks Dr
Danville, CA 94526-5118

Phone

(904) 253-9756

Fax

(925) 753-1986

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vasili Dzerhachou, MDNPI 1952783029

Title

President

Phone

(904) 253-9756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Vasili Dzerhachou, M.D.

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1952783029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1730948415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SAINT PATRICKS DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945265118",
            "telephone_number": "904-253-9756",
            "fax_number": "925-753-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SAINT PATRICKS DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945265118",
            "telephone_number": "904-253-9756",
            "fax_number": "925-753-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASILI A DZERHACHOU MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "DZERHACHOU",
        "authorized_official_first_name": "VASILI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-253-9756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlyn R Van Dyke, PT
• Derek Vandersloot, PT
• Judy Vang
• Shobana Sampath Vankipuram, MD
• Kristine Vargas, PT, DPT
• Alina Vasquez
• Afsaneh Vaziri
• Ramesh Sai Veeragandham, MD
• Stephanie Veilleux, OD
• David Vengel

• Internal Medicine Physician in Danville, CA
• Providers in Danville, 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 Mar 15, 2024; 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.