Active NPI
Irina V Kolomey D O
- Internal Medicine Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- IRINA V KOLOMEY D O
- Practice address
- 1808 San Miguel Dr
Walnut Creek, CA 94596-8606 - Phone
- (925) 528-2663
- NPI assigned
- Jul 31, 2023
- Last updated
- Sep 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irina Victor Kolomey, DO
- Title
- President
- Phone
- (925) 363-3395
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
1808 San Miguel Dr
Walnut Creek, CA 94596-8606
Mailing address
1808 San Miguel Dr
Walnut Creek, CA 94596-8606
Phone (925) 363-3395
Other practice location 1
2350 Country Hills Dr Ste B
Antioch, CA 94509-7436
Phone (925) 528-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2350 Country Hills Dr
Antioch, CA 94509
Phone (925) 363-3395
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHFCDD
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.
-
- Internal Medicine Physician
- Walnut Creek, CA
- NPI 1104062173
-
- Surgical Critical Care Physician
- Antioch, CA
- NPI 1316123383
-
- Surgery Physician
- Antioch, CA
- NPI 1770756884
-
- General Practice Dentistry
- Walnut Creek, CA
- NPI 1821018722
-
- Family Medicine Physician
- Walnut Creek, CA
- NPI 1366517823
-
- Surgery Physician
- Antioch, CA
- NPI 1295759355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1821779851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 SAN MIGUEL DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945968606",
"telephone_number": "925-363-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 SAN MIGUEL DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945968606",
"telephone_number": "925-528-2663"
}
],
"practiceLocations": [
{
"address_1": "2350 Country Hills Dr Ste B",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "945097436",
"country_code": "US",
"telephone_number": "925-528-2663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IRINA V KOLOMEY D O",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-31",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "KOLOMEY",
"authorized_official_first_name": "IRINA",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-363-3395",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 14, 2023; 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.