| Diana Superfin MD Inc. | |
|
148 Lancaster Rd Walnut Creek CA 94595-2325 | |
| (925) 939-9630 | |
| Not Available |
| Full Name | Diana Superfin MD Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 148 Lancaster Rd, Walnut Creek, California |
| Authorized Official Name and Position | Diana Superfin (PRESIDENT) |
| Authorized Official Contact | 9259399630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Superfin MD Inc. 148 Lancaster Rd Walnut Creek CA 94595-2325 Ph: (925) 939-9630 | Diana Superfin MD Inc. 148 Lancaster Rd Walnut Creek CA 94595-2325 Ph: (925) 939-9630 |
| NPI Number | 1568285880 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 3577092121 |
|---|---|
| Medicare Enrollment ID | O20250127000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568285880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Diana Superfin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750365953 PECOS PAC ID: 9133157472 Enrollment ID: I20050728000851 |
| Provider Name | Erica V Eshoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649346487 PECOS PAC ID: 5799826186 Enrollment ID: I20100107000329 |
| Provider Name | Svetlana Yagudayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811193808 PECOS PAC ID: 0840697256 Enrollment ID: I20210928002986 |
| Provider Name | Mark Tan Florentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932621000 PECOS PAC ID: 0941677140 Enrollment ID: I20221101000695 |
| Provider Name | Ardeep Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205565199 PECOS PAC ID: 3971977877 Enrollment ID: I20230315003103 |
| Provider Name | Sancia Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952947665 PECOS PAC ID: 5092140459 Enrollment ID: I20230403002522 |
| Provider Name | Leah Naomi Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013601384 PECOS PAC ID: 3779939087 Enrollment ID: I20231023003087 |
| Provider Name | Veronica I Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891977104 PECOS PAC ID: 1759732712 Enrollment ID: I20240104000796 |
| Provider Name | Frank Efrem Primus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366734618 PECOS PAC ID: 7214224047 Enrollment ID: I20240814002379 |
| Provider Name | Melyssa Ruth Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700556636 PECOS PAC ID: 6709283831 Enrollment ID: I20250522001077 |
| Provider Name | Bushra Iqbal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828916 PECOS PAC ID: 8628579315 Enrollment ID: I20250903001947 |
| Provider Name | Allyssa Marie Montemayor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356038921 PECOS PAC ID: 2365945268 Enrollment ID: I20250915001984 |
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