DIABLO VALLEY PRIMARY CARE, INC.
NPI 1073823332
Internal Medicine in Concord, CA

Active since October 20, 2010CLIA 05D1047330 · Waiver
2415 HIGH SCHOOL AVE, SUITE 800, CONCORD, CA 94520(925) 687-5210(925) 687-5091 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diablo Valley Primary Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIABLO VALLEY PRIMARY CARE, INC. (NPI 1073823332) is a healthcare organization registered as an internal medicine in Concord, California and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Chinnavuth Pitou De Monteiro, Owner, as its authorized official.

NPPES Registry Identity

NPI1073823332
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIABLO VALLEY PRIMARY CARE, INC.
Location Address2415 HIGH SCHOOL AVE, SUITE 800Concord, CA 94520-1800
Mailing Address2415 High School Ave, Suite 800Concord, CA 94520-1800 · (925) 687-5210 · Fax (925) 687-5091
Fax(925) 687-5091
Organization SubpartNo
Authorized OfficialChinnavuth Pitou De MonteiroOwner · (925) 687-5210
Enumeration DateOctober 20, 2010
✔ NPI 1073823332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G73896
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License G66708 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License NP14287 (CA)
2415 HIGH SCHOOL AVE, Concord, CA 94520

Other Identifiers 5

Other1558392449CA · Npi
Medicare UPINE82800CA
Other1275642910CA · Npi
Medicare UPINF41911CA
Other1093815540CA · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diablo Valley Primary Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Diablo Valley Primary Care, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1730971706
2415 HIGH SCHOOL AVE STE 800
Concord, CA 94520
(510) 439-7195
✔ PECOSSame address
Internal Medicine
NPI 1558392449
2415 HIGH SCHOOL AVE SUITE 800
Concord, CA 94520
(925) 687-5210
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841878246
2415 HIGH SCHOOL AVE STE 800
Concord, CA 94520
(909) 558-1000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013519685
2305 CAMINO RAMON STE 100
San Ramon, CA 94583
(925) 543-0290
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1710687017
27200 CALAROGA AVE
Hayward, CA 94545
(510) 264-4000
✔ PECOS25 mi
Nurse Practitioner
NPI 1568132967
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1047330

Diablo Valley Primary Care, Inc · Concord, CA
Active · expires Oct 31, 2027
CLIA Number05D1047330
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorChinnavuth P. De Monteiro, MD
Laboratory Phone(925) 687-5210
Laboratory LocationDiablo Valley Primary Care, Inc2415 High School Ave Ste 800, Concord, CA 94520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diablo Valley Primary Care, Inc.'s NPI number?

The NPI number for Diablo Valley Primary Care, Inc. is 1073823332. It was assigned to this organization in the NPPES registry on October 20, 2010.

Where is Diablo Valley Primary Care, Inc. located?

Diablo Valley Primary Care, Inc. is located at 2415 High School Ave Suite 800, Concord, CA 94520. The listed phone number is (925) 687-5210.

What is Diablo Valley Primary Care, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Diablo Valley Primary Care, Inc. enrolled in Medicare?

Yes. Diablo Valley Primary Care, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diablo Valley Primary Care, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Diablo Valley Primary Care, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Diablo Valley Primary Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1047330) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diablo Valley Primary Care, Inc. was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.