NPIMap

Individual provider Active NPI

Diane Yvonne Chowwoods, DPM

  • Podiatrist
  • Berkeley, CA
National Provider Identifier
1790726511
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3635 Issued in CA
Practice address
3260 Sacramento St
Berkeley, CA 94702-2739
Phone
(510) 601-6060
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3635 CA Primary

Addresses

Primary practice location

3260 Sacramento St
Berkeley, CA 94702-2739

Mailing address

950 Carol LN
Lafayette, CA 94549-4715
Phone (925) 962-9325

Other identifiers 1

IdentifierTypeStateIssuer
000E36351MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dchow@lifelongmedical.org LIFELONG MEDICAL CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000909 CA Practitioner - Podiatry 2567658081 Reassigns benefits to 1 organization
Practice locations: Berkeley, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelong Medical Care 75 clinicians

Practice addresses (Care Compare)

3260 Sacramento St
Berkeley, CA 94702-2739
Phone (510) 428-4500

Hospital & facility affiliations

  • Alameda Hospital Hospital, Alameda, CA, CCN 050211
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3635CAMDPodiatrist

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Oct 25, 2010 Accepting new patients
Lifelong Medical Care CurrentSince Oct 25, 2010 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Juana Care Facility Past Accepting new patients

Locations

3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

2001 Dwight Way
Rm 1363
Berkeley, CA 94704
Phone (510) 204-4637

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dchow280515@direct.ochin.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1790726511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CAROL LN",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494715",
            "telephone_number": "925-962-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022739",
            "telephone_number": "510-601-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWWOODS",
        "first_name": "DIANE",
        "middle_name": "YVONNE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E36351",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchow@lifelongmedical.org",
            "affiliation": "Y",
            "endpointDescription": "clinic email",
            "affiliationName": "LIFELONG MEDICAL CARE",
            "address_1": "3260 Sacramento St",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947022739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.