Doctors Medical Center- San Pablo

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

110000485 Issued in CA

Legal business name

DOCTORS MEDICAL CENTER- SAN PABLO

Practice address

2000 Vale Rd
San Pablo, CA 94806-3808

Phone

(510) 970-5000

Fax

(510) 970-5728

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James Boatman

Title

Cfo

Phone

(510) 970-5107

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 050079

Legal name

DOCTORS MEDICAL CENTER - SAN PABLO

Certification status

Terminated Voluntary: merger or closure, Apr 21, 2015

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Dec 12, 1991

Beds

326

Ownership / control type

Hospital district or authority

Most recent change of ownership

Jun 1, 2002 (2 total)

Facility address

2000 Vale Rd
San Pablo, CA 94806

Practitioners 1

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

• Brian Edwin Lawson, R.D.

  • Registered Dietitian
  • San Pablo, CA
  • NPI 1689805798
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1922261619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VALE RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063808",
            "telephone_number": "510-970-5000",
            "fax_number": "510-970-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VALE RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063808",
            "telephone_number": "510-970-5000",
            "fax_number": "510-970-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL CENTER- SAN PABLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "BOATMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-970-5107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "110000485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSHPD",
            "identifier": "106070904",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC000791",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40079I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manoj Sumanlal Desai, M.D.
• Diablo Medical & Sleep Clinic Medical Corporation
• Mously Diakhate, PA-C
• Beth Dillin, BETH DILLIN
• Docs of the Bay
• Joseph Morrell Dodge, MD
• Chime Dolkar, RN
• Evelin Yajaira Dominguez
• Edward Francis Donnelly, PH.D.
• Davita Rochelle Dorsey

• General Acute Care Hospital in San Pablo, CA
• Providers in San Pablo, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.