Organization Active NPI

Silvia Diego MD Inc a Professional Medical Corp

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1861091126
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Silvia M Diego, MDNPI 1922080506
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10947998OtherCACAQH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.