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ANTHONY SUBIDO DYSICO N.P.
NPI 1730100504
Nurse Practitioner in San Leandro, CA

Active since July 21, 2006PECOS Enrolled
2500 MERCED ST, SAN LEANDRO, CA 94577(510) 454-1000 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony Subido Dysico N.p. NPPES

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

ANTHONY SUBIDO DYSICO N.P. (NPI 1730100504) is an individual nurse practitioner in San Leandro, California, licensed in California (16198) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730100504
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameANTHONY SUBIDO DYSICOCredential: N.P.
Location Address2500 MERCED STSan Leandro, CA 94577-4201
Mailing Address2500 Merced StSan Leandro, CA 94577-4201 · (510) 454-1000
Phone(510) 454-1000
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1730100504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 16198
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2500 MERCED ST, San Leandro, CA 94577
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Subido Dysico N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHIENA SHARMA MD
Anesthesiology
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
ANTHONY MICHAEL BATTAGLIA RN
Registered Nurse
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
DR. ELIZABETH MACERA N.P.
Nurse Practitioner
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
MS. TSUI TAM PHARM. D.
Pharmacist
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-2747
JEFFREY LI M.D.
Radiology (Diagnostic Radiology)
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 737-3032
CHIN-HSIANG FENG
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 518-5598
MS. JESSICA RAE MARTINEZ CNM
Advanced Practice Midwife
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (925) 548-4751
DR. GRACE MINDY LEE M.D.
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000

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 Anthony Dysico's NPI number?

The NPI number for Anthony Dysico is 1730100504. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Anthony Dysico located?

Anthony Dysico practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 454-1000.

What is Anthony Dysico's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anthony Dysico enrolled in Medicare?

Yes. Anthony Dysico is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Dysico was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.