Organization Active NPI

Yshay Shlesinger, M.D., a Professional Corporation

Doing business as NorCal Endocrinology & Internal Medicine

  • Internal Medicine Physician
  • San Ramon, CA
National Provider Identifier
1770763419
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65724 Issued in CA
Legal business name
YSHAY SHLESINGER, M.D., A PROFESSIONAL CORPORATION
Doing business as
NorCal Endocrinology & Internal Medicine
Practice address
111 Deerwood Rd
Suite 180
San Ramon, CA 94583
Phone
(925) 552-5284
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Yshay Shlesinger, M.D.NPI 1881799922
Title
Ceo
Phone
(925) 552-5284

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A65724 CA Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X A65724 CA

Addresses

Primary practice location

111 Deerwood Rd
Suite 180
San Ramon, CA 94583

Mailing address

111 Deerwood Rd
Suite 180
San Ramon, CA 94583-4409
Phone (925) 552-5284

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ06877ZOtherCAPTN

Other names 1

  • NorCal Endocrinology & Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000728 CA Part B Supplier - Clinic/Group Practice 6406932557 Receives reassigned benefits from 1 practitioner
Practice locations: San Ramon, CA; Walnut Creek, CA; Roseville, CA

National Provider Directory

National Provider Directory

Locations

111 Deerwood Rd
Ste 180
San Ramon, CA 94583
Phone (925) 552-5284

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1770763419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD",
            "address_2": "SUITE 180",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834409",
            "telephone_number": "925-552-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD",
            "address_2": "SUITE 180",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-552-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YSHAY SHLESINGER, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "SHLESINGER",
        "authorized_official_first_name": "YSHAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-552-5284",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65724",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A65724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTN",
            "identifier": "ZZZ06877Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorCal Endocrinology & Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.