Organization Active NPI

Medical Center for Diabetes & Metabolic Care Inc.

  • Multi-Specialty Clinic/Center
  • Daly City, CA
National Provider Identifier
1942524772
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
A 38854 Issued in CA
Legal business name
MEDICAL CENTER FOR DIABETES & METABOLIC CARE INC.
Practice address
1850 Sullivan Ave Ste 510
Daly City, CA 94015-2230
Phone
(215) 630-1361
Fax
(866) 258-6628
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Myrna L Soriano, MD
Title
President
Phone
(215) 630-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A 38854 CA Primary

Addresses

Primary practice location

1850 Sullivan Ave Ste 510
Daly City, CA 94015-2230

Mailing address

1361 Brentwood Rd
Yardley, PA 19067-3924
Phone (650) 808-7430

Other identifiers 1

IdentifierTypeStateIssuer
DF441ZOtherCAPTAN

National Provider Directory

National Provider Directory

Locations

60 N El Camino Real
San Mateo, CA 94401
Phone (650) 276-9150

3571 Callan Blvd
South San Francisco, CA 94080
Phone (650) 276-9150

Practitioners & affiliated clinicians

Practitioners 4

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": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1942524772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 BRENTWOOD RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190673924",
            "telephone_number": "650-808-7430",
            "fax_number": "866-258-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE STE 510",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152230",
            "telephone_number": "215-630-1361",
            "fax_number": "866-258-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER FOR DIABETES & METABOLIC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-630-1361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A 38854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DF441Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.