NPIMap

Organization Active NPI

Diablo Valley ENT - a Medical Corporation

Doing business as Diablo Valley ENT

  • Otolaryngology Physician
  • Walnut Creek, CA
National Provider Identifier
1750329702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A44211 Issued in CA
Legal business name
DIABLO VALLEY ENT - A MEDICAL CORPORATION
Doing business as
Diablo Valley ENT
Practice address
1776 Ygnacio Valley Rd
Ste. 210
Walnut Creek, CA 94598-3190
Phone
(925) 933-8462
Fax
(925) 933-4460
NPI assigned
Jun 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Abraham G Hsieh, MDNPI 1679520076
Title
President
Phone
(925) 933-8462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A44211 CA Primary

Addresses

Primary practice location

1776 Ygnacio Valley Rd
Ste. 210
Walnut Creek, CA 94598-3190

Mailing address

1776 Ygnacio Valley Rd
Ste. 210
Walnut Creek, CA 94598-3190
Phone (925) 933-8462

Other names 1

  • Diablo Valley ENT Doing business as

National Provider Directory

National Provider Directory

Locations

1776 Ygnacio Valley Rd
Ste 210
Walnut Creek, CA 94598
Phone (925) 933-8462

Practitioners & affiliated clinicians

Practitioners 6

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750329702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "STE. 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983190",
            "telephone_number": "925-933-8462",
            "fax_number": "925-933-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "STE. 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983190",
            "telephone_number": "925-933-8462",
            "fax_number": "925-933-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO VALLEY ENT - A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HSIEH",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-933-8462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A44211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diablo Valley ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.