Diablo Plaza Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIABLO PLAZA SURGERY CENTER

Practice address

2222 East St Ste 290
Concord, CA 94520-2066

Phone

(925) 691-1580

Fax

(925) 689-2601

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Degnan, M.D.

Title

Chief Executive Officer

Phone

(925) 689-2580

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• John Jiwoong Ryu, MD

  • Anesthesiology Physician
  • Walnut Creek, CA
  • NPI 1497783021
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1851739866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 EAST ST STE 290",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202066",
            "telephone_number": "925-691-1580",
            "fax_number": "925-689-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 EAST ST STE 290",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202066",
            "telephone_number": "925-691-1580",
            "fax_number": "925-689-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO PLAZA SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "DEGNAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "925-689-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manrit Dhillon, OT
• Chloe Westcott Di Tirro
• Diabetes and Endocrinology Specialists Inc.
• Diablo Dialysis Access Center a Ca Professional Medical Corp (Diablo Dialysis Access Center, Inc.)
• Diablo Nephrology Medical Group, Inc
• Diablo Pulmonary Medical Group, Inc
• Diablo Valley Primary Care, Inc.
• Diablo Valley Women OB,GYN Medical Group Inc.
• Kendall Dials
• Angel Diamond

• Ambulatory Surgical Clinic/Center in Concord, CA
• Providers in Concord, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.