Diablo Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

DIABLO PODIATRY

Practice address

2301 Camino Ramon Ste 290
San Ramon, CA 94583-2060

Phone

(925) 831-1898

Fax

(925) 831-4910

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Cyndy Gibbons

Title

Office Manager

Phone

(925) 818-6450

Specialties & licenses 1

Addresses

Other names 1

• DIABLO PODIATRY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• William Stewart, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Ramon, CA
  • NPI 1154491371

  O20050428000652

  Same enrollment

Locations

Practitioners 3

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

• Jenny Lam

  • Foot & Ankle Surgery Podiatrist
  • San Ramon, CA
  • NPI 1801201587
  Medicare reassignment Care Compare group
• Christyn Marshall, DPM

  • Primary Podiatric Medicine Podiatrist
  • Danville, CA
  • NPI 1376958405
  Medicare reassignment Care Compare group
• Melissa N Loja, MD

  • Vascular Surgery Physician
  • Fairfield, CA
  • NPI 1578826749

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1831770189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 290",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832060",
            "telephone_number": "925-831-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 290",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832060",
            "telephone_number": "925-831-1898",
            "fax_number": "925-831-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "CYNDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-818-6450"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIABLO PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmine Dhillon
• Mary Ann Di Geronimo, RN
• Diablo Hearing Services Inc
• Diablo Mountain Ambulatory Surgery Center
• Diablo Pain Management, Prof Corp
• Diablo Prosthetics and Orthotics, Inc
• Diablo Valley Critical Care PC
• Diablo Valley Drug and Alcohol Services Inc.
• Ana Isabel Diaz-Montes
• Alex Diaz, D.O.

• Foot & Ankle Surgery Podiatrist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.