Active NPI
Silvia Diego MD Inc a Professional Medical Corp
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1861091126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SILVIA DIEGO MD INC A PROFESSIONAL MEDICAL CORP
- Practice address
- 1317 Oakdale Rd Ste 100
Modesto, CA 95355-3362 - Phone
- (209) 522-3362
- Fax
- (209) 522-3363
- NPI assigned
- Oct 19, 2020
- 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
- Silvia M Diego, MD
- Title
- Owner
- Phone
- (209) 480-9955
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1317 Oakdale Rd Ste 100
Modesto, CA 95355-3362
Mailing address
1317 Oakdale Rd Ste 440
Modesto, CA 95355-3364
Phone (209) 522-3363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10947998 | Other | CA | CAQH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Modesto, CA
- NPI 1922080506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1861091126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 OAKDALE RD STE 440",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553364",
"telephone_number": "209-522-3363",
"fax_number": "209-522-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 OAKDALE RD STE 100",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553362",
"telephone_number": "209-522-3362",
"fax_number": "209-522-3363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVIA DIEGO MD INC A PROFESSIONAL MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "DIEGO",
"authorized_official_first_name": "SILVIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-480-9955",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10947998",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.