CAROL ROGERS DIRAIMONDO (NPI# 1265433288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265433288 |
| Entity Type | Individual |
| Full Name | CAROL ROGERS DIRAIMONDO |
| Credential | MD |
| Practice Address |
112 La Casa Via Ste 210 Walnut Creek CA 94598-3091 |
| Practice Telephone | 9259440351 |
| Practice Fax Number | 9259441957 |
| Mailing Telephone | 9259440351 |
| Mailing Fax Number | 9259441957 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
G49855 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CP2044 | 01 | |
| CA | GR0020610 | 05 |
| Street Address |
112 LA CASA VIA STE 210 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500148 | Sam Saeed Zamani | Internal Medicine | 112 La Casa Via, Suite 320, Walnut Creek, CA 94598-3091 | 2005-07-03 |
| 1467906867 | Helen Aumann | Pharmacist | 112 La Casa Via, 112, Walnut Creek, CA 94598-3091 | 2016-08-15 |
| 1598113029 | Julie Greenlaw | Dentist | 112 La Casa Via, St 202, Walnut Creek, CA 94598-3091 | 2016-05-25 |
| 1528451523 | Cornerstone Primary Care Inc | Clinic/Center | 112 La Casa Via, Suite 135, Walnut Creek, CA 94598-3091 | 2015-03-15 |
| 1295131639 | Debra Ann Klein | Clinical Nurse Specialist | 112 La Casa Via, Suite 130, Walnut Creek, CA 94598-3091 | 2014-11-12 |
| 1356777130 | Lauren Michelle Lockwood | Nurse Practitioner | 112 La Casa Via, Suite 130, Walnut Creek, CA 94598-3091 | 2013-09-24 |
| 1912342957 | Womens' Health Partners of California | Obstetrics & Gynecology | 112 La Casa Via, Suite 130, Walnut Creek, CA 94598-3091 | 2013-05-03 |
| 1457697799 | Michele Lomelino | Optometrist | 112 La Casa Via, Suite 260, Walnut Creek, CA 94598-3091 | 2012-12-13 |
| 1023367398 | Raymond S. Ruzicano, M.d.inc | Psychiatry & Neurology | 112 La Casa Via, Suite 345, Walnut Creek, CA 94598-3091 | 2012-09-02 |
| 1730417403 | Ceasar Sedeno Relevante | Physician Assistant | 112 La Casa Via, Suite 135, Walnut Creek, CA 94598-3091 | 2009-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053483891 | Jamal Raji Mogannam | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-15 |
| 1609954767 | John R. Valdin | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1144308230 | Sylvia L. Chi-wu | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1528146602 | Mubasher Rana | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1326049115 | Elizabeth M Wrone | Internal Medicine | 112 La Casa Via, Ste 210, Walnut Creek, CA 94598-3091 | 2005-08-03 |
| 1427059344 | Rohit Sharma | Internal Medicine | 112 La Casa Via, Suite 210, Walnut Creek, CA 94598-3091 | 2005-08-02 |
| 1336140250 | Jason Shey | Internal Medicine | 112 La Casa Via, Suite 210, Walnut Creek, CA 94598-3091 | 2005-08-02 |
| 1407857329 | May Y Chiu | Internal Medicine | 112 La Casa Via, Suite 210, Walnut Creek, CA 94598-3091 | 2005-08-02 |
| 1336140359 | Mario Paul Curzi | Internal Medicine | 112 La Casa Via, Ste 210, Walnut Creek, CA 94598-3091 | 2005-08-02 |
| 1215937933 | Robert W Davies | Internal Medicine | 112 La Casa Via, Suite 210, Walnut Creek, CA 94598-3091 | 2005-07-22 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.