Diablo Infectious Disease Consultative Service Med GRP Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

DIABLO INFECTIOUS DISEASE CONSULTATIVE SERVICE MED GRP INC

Practice address

13851 E 14TH St Ste 308
San Leandro, CA 94578-2630

Phone

(925) 463-1318

NPI assigned

Feb 17, 2006

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Li Kuo Kong, MD

Title

President

Phone

(925) 463-1318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 20

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.

• Fareed Ramzi Asfour, M.D.

  • Infectious Disease Physician
  • Lakeport, CA
  • NPI 1447343496
  Medicare reassignment Care Compare group NPD
• Mark James Finch, M.D.

  • Infectious Disease Physician
  • Hayward, CA
  • NPI 1730248196
  Medicare reassignment Care Compare group NPD
• Cynthia Ho Yan Leung, FNP

  • Family Nurse Practitioner
  • Ceres, CA
  • NPI 1689110322
  Medicare reassignment Care Compare group NPD
• Eileen Katherine Nenninger, MD

  • Infectious Disease Physician
  • San Leandro, CA
  • NPI 1295199966
  Medicare reassignment Care Compare group NPD
• Bijal Maulin Patel, M.D.

  • Infectious Disease Physician
  • Pleasanton, CA
  • NPI 1396961777
  Medicare reassignment Care Compare group NPD
• Sarah Semon, MD

  • Infectious Disease Physician
  • Sacramento, CA
  • NPI 1457988446
  Medicare reassignment Care Compare group NPD
• Richard Van Shen, M.D.

  • Infectious Disease Physician
  • San Leandro, CA
  • NPI 1942663919
  Medicare reassignment Care Compare group NPD
• Ameerah Carson, ACNP

  • Adult Health Nurse Practitioner
  • Mobile, AL
  • NPI 1497428742

  CA

  Medicare reassignment Care Compare group NPD
• Payal Kirtikant Shah, M.D.

  • Infectious Disease Physician
  • Chicago, IL
  • NPI 1760791198

  CA

  Medicare reassignment Care Compare group NPD
• Likuo Kong, MD

  • Infectious Disease Physician
  • Pleasanton, CA
  • NPI 1518931047
  Medicare reassignment Care Compare group
• Robert McCabe, MD

  • Infectious Disease Physician
  • Pleasanton, CA
  • NPI 1073586905
  Medicare reassignment Care Compare group
• Hector Bonilla, MD

  • Infectious Disease Physician
  • Stanford, CA
  • NPI 1225115371
  Medicare reassignment NPD

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1952376535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20309",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945468309",
            "telephone_number": "925-463-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 308",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782630",
            "telephone_number": "925-463-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO INFECTIOUS DISEASE CONSULTATIVE SERVICE MED GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "LI",
        "authorized_official_middle_name": "KUO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-463-1318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Depratti
• Susan M Devera, DMD
• Jessica Devol
• Simratpal Kaur Dhaliwal
• Deepak Dhawan, MD
• Marc Joseph Diamond, L.C.S.W.
• Tatiana Del Pilar Diaz Cubillos, LVN
• Diaz-Maniego Professional Dental Corporation (san leandro plaza dental office)
• Alejandra Diaz
• Jennifer C Diaz, DMD

• Infectious Disease Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.