| Diablo Infectious Disease Consultative Service Med Grp Inc | |
|
13851 E 14th St Ste 308 San Leandro CA 94578-2630 | |
| (925) 463-1318 | |
| Not Available |
| Full Name | Diablo Infectious Disease Consultative Service Med Grp Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13851 E 14th St Ste 308, San Leandro, California |
| Authorized Official Name and Position | Li Kuo Kong (PRESIDENT) |
| Authorized Official Contact | 9254631318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diablo Infectious Disease Consultative Service Med Grp Inc Po Box 20309 Castro Valley CA 94546-8309 Ph: (925) 463-1318 | Diablo Infectious Disease Consultative Service Med Grp Inc 13851 E 14th St Ste 308 San Leandro CA 94578-2630 Ph: (925) 463-1318 |
| NPI Number | 1952376535 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 9032187281 |
|---|---|
| Medicare Enrollment ID | O20040924000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952376535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Li Kuo Kong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518931047 PECOS PAC ID: 6406818947 Enrollment ID: I20041217000313 |
| Provider Name | Mark J Finch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730248196 PECOS PAC ID: 2769432160 Enrollment ID: I20050124000833 |
| Provider Name | Robert Edward Mccabe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073586905 PECOS PAC ID: 6002873544 Enrollment ID: I20050210000636 |
| Provider Name | Nagma Andalid Hossain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528141520 PECOS PAC ID: 7810949765 Enrollment ID: I20050218000403 |
| Provider Name | Shaker Itani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538193826 PECOS PAC ID: 4981590858 Enrollment ID: I20050425000697 |
| Provider Name | Christina Hopson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265404537 PECOS PAC ID: 1557328093 Enrollment ID: I20050630001167 |
| Provider Name | Fareed R Asfour |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447343496 PECOS PAC ID: 8022014554 Enrollment ID: I20061005000645 |
| Provider Name | David A Miller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306000393 PECOS PAC ID: 4082891908 Enrollment ID: I20110601000919 |
| Provider Name | Szilvia Molitorisz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295806289 PECOS PAC ID: 9739178104 Enrollment ID: I20130717000864 |
| Provider Name | Payal Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760791198 PECOS PAC ID: 0840426656 Enrollment ID: I20131127001398 |
| Provider Name | Mahedere Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588809651 PECOS PAC ID: 6709001910 Enrollment ID: I20140702000416 |
| Provider Name | Connie Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346656832 PECOS PAC ID: 2163740903 Enrollment ID: I20150408000168 |
| Provider Name | Hector F Bonilla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225115371 PECOS PAC ID: 8022018472 Enrollment ID: I20150709001143 |
| Provider Name | Bijal Maulin Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396961777 PECOS PAC ID: 0749357432 Enrollment ID: I20160218001787 |
| Provider Name | Cynthia Ho Yan Leung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689110322 PECOS PAC ID: 9638447618 Enrollment ID: I20170615000987 |
| Provider Name | Harkiran K Grewal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790022416 PECOS PAC ID: 8123394087 Enrollment ID: I20190712000714 |
| Provider Name | Brianna L Ray |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477915932 PECOS PAC ID: 8921348434 Enrollment ID: I20190730003040 |
| Provider Name | Richard Van Shen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942663919 PECOS PAC ID: 3375838469 Enrollment ID: I20230913001300 |
| Provider Name | Eileen K Nenninger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295199966 PECOS PAC ID: 0749575058 Enrollment ID: I20230914000032 |
Evelyn J Nakagawa Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Benedict Dr, San Leandro, CA 94577 Phone: 415-945-1010 | |
Daniel C Anderson Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13847 E 14th St Ste 100, San Leandro, CA 94578 Phone: 510-352-6910 Fax: 510-352-4216 | |
California Cardiovascular Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 150th Ave, San Leandro, CA 94578 Phone: 510-351-6363 Fax: 510-278-3757 | |
Alameda County Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15400 Foothill Blvd, San Leandro, CA 94578 Phone: 510-346-1468 Fax: 510-894-7286 | |
San Leandro Mobile Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16110 E 14th St, San Leandro, CA 94578 Phone: 510-471-5880 | |
Dariush Zandi Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13851 E 14th St Ste 102, San Leandro, CA 94578 Phone: 510-351-2100 Fax: 510-357-3389 | |
Davis Street Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3081 Tegarden, San Leandro, CA 94577 Phone: 510-347-4620 Fax: 510-486-4486 |