ONE MEDICAL GROUP, INC. (NPI# 1376189837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376189837 |
| Entity Type | Organization |
| Organization Name | ONE MEDICAL GROUP, INC. |
| Practice Address |
1100 Grundy Ln San Bruno CA 94066-3065 |
| Mailing Address |
1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 |
| Practice Telephone | 8882011937 |
| Mailing Telephone | 4156586791 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | ANDREW DIAMOND (PRESIDENT) |
| Authorized Official Telephone | 4156586791 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ONE MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| One Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578750 | One Medical Group, Inc. | Internal Medicine | 1600 Seaport Blvd, Redwood City, CA 94063-5563 | 2020-02-03 |
| 1528580115 | One Medical Group, Inc. | Family Medicine | 2037 Landings Dr, Mountain View, CA 94043-0825 | 2017-07-14 |
| 1922470392 | One Medical Group, Inc. | Internal Medicine | 3615 Jack Northrop Ave., Suite 100, Hawthorne, CA 90250 | 2015-10-26 |
| 1417382102 | One Medical Group, Inc. | Internal Medicine | 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 | 2013-09-12 |
| 1720610728 | One Medical Group, Inc. | Internal Medicine | 1674 N Shoreline Blvd, Mountain View, CA 94043-1374 | 2020-02-07 |
| 1487213781 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-06-10 |
| 1891254009 | One Medical Group, Inc. | Internal Medicine | 625 Boren Avenue North, Seattle, WA 98109 | 2019-03-18 |
| 1700377256 | One Medical Group, Inc. | Family Medicine | 355 Main St, Cambridge, MA 02142-1062 | 2018-05-21 |
| 1902395320 | One Medical Group, Inc. | Internal Medicine | 121 Spear St, San Francisco, CA 94105-1581 | 2018-05-02 |
| 1275057762 | One Medical Group, Inc. | Internal Medicine | 1170 Bordeaux Dr Bldg 3, Sunnyvale, CA 94089-1209 | 2017-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ONE MEDICAL GROUP, INC. | One Embarcadero Center Floor 19, San Francisco, CA 94111 |
| Washington State Corporations | ONE MEDICAL GROUP, INC. | 130 Sutter St Fl 2, San Francisco, CA 94104-4009 |
| Street Address |
1100 GRUNDY LN |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164509097 | Sue Kim | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2006-10-31 |
| 1487213781 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-06-10 |
| 1750429932 | Mario Alberto Sandoval | Psychologist | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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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.