| Daiya Healthcare Pc | |
|
5201 Norris Canyon Rd San Ramon CA 94583-5411 | |
| (206) 823-1004 | |
| (206) 309-3319 |
| Full Name | Daiya Healthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5201 Norris Canyon Rd, San Ramon, California |
| Authorized Official Name and Position | Bhupinder S Walia (CEO) |
| Authorized Official Contact | 2068231004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daiya Healthcare Pc 11120 Ne 33rd Pl Ste 202 Bellevue WA 98004-1444 Ph: (206) 823-1004 | Daiya Healthcare Pc 5201 Norris Canyon Rd San Ramon CA 94583-5411 Ph: (206) 823-1004 |
| NPI Number | 1265100614 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Medicare PECOS PAC ID | 9931589736 |
|---|---|
| Medicare Enrollment ID | O20220711003324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265100614 | NPI | - | NPPES |
| Provider Name | Tuan A Doan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831200526 PECOS PAC ID: 9931184116 Enrollment ID: I20040622000518 |
| Provider Name | Harvey A Kryger |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417940925 PECOS PAC ID: 1052470457 Enrollment ID: I20081029000870 |
| Provider Name | Kenneth T Low |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750548814 PECOS PAC ID: 7517026172 Enrollment ID: I20081111000720 |
| Provider Name | Sadi D Dalieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639116882 PECOS PAC ID: 9830182856 Enrollment ID: I20150715002123 |
| Provider Name | Rasha A Morad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861552325 PECOS PAC ID: 1759578677 Enrollment ID: I20181127001125 |
| Provider Name | Bhupinder Walia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801039649 PECOS PAC ID: 8123297728 Enrollment ID: I20210519002770 |
| Provider Name | Maria Mallick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902471535 PECOS PAC ID: 5193125789 Enrollment ID: I20210618001792 |
| Provider Name | Kimberly Ann Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902484587 PECOS PAC ID: 0547663031 Enrollment ID: I20210721001559 |
| Provider Name | Jackie Burman-solgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679862353 PECOS PAC ID: 1355642380 Enrollment ID: I20211216002428 |
| Provider Name | Kaitlyn Elizabeth Fakouri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821754979 PECOS PAC ID: 3779974985 Enrollment ID: I20211223000746 |
| Provider Name | Darius Russin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790798981 PECOS PAC ID: 7810928025 Enrollment ID: I20220426002923 |
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