Organization Active NPI

Diablo Digestive Care, Inc.

  • Gastroenterology Physician
  • Pleasant Hill, CA
National Provider Identifier
1740552710
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A78375 Issued in CA
Legal business name
DIABLO DIGESTIVE CARE, INC.
Practice address
400 Taylor Blvd Ste 304
Pleasant Hill, CA 94523-2160
Phone
(925) 363-0069
Fax
(925) 363-0077
NPI assigned
Feb 6, 2012
Last updated
Feb 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Premjit Chahal, M.D.NPI 1093893091
Title
M.D.
Phone
(925) 363-0069

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
Gastroenterology Physician 207RG0100X A78375 CA Primary

Addresses

Primary practice location

400 Taylor Blvd Ste 304
Pleasant Hill, CA 94523-2160

Mailing address

400 Taylor Blvd Ste 304
Pleasant Hill, CA 94523-2160
Phone (925) 363-0069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000739 CA Part B Supplier - Clinic/Group Practice 0446410393 Receives reassigned benefits from 2 practitioners
Practice locations: Brentwood, CA; Pleasant Hill, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIHBA

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1740552710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD STE 304",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232160",
            "telephone_number": "925-363-0069",
            "fax_number": "925-363-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD STE 304",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232160",
            "telephone_number": "925-363-0069",
            "fax_number": "925-363-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO DIGESTIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "CHAHAL",
        "authorized_official_first_name": "PREMJIT",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "925-363-0069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A78375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.