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Organization
PITTSBURG-ANTIOCH MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization
PITTSBURG-ANTIOCH MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Other names
Springhill Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD R DEL RIO M.D. (PRESIDENT)
(925) 635-2978
Entity
Organization
Contact information
Practice address
2220 GLADSTONE DR, SUITE 3, PITTSBURG, CA 94565-5123
(924) 432-3318
Mailing address
2220 GLADSTONE DR, SUITE 3, PITTSBURG, CA 94565-5123
(924) 432-3318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A50205
CA
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
A836250
CA
207RI0011X
Interventional Cardiology Physician
G43569
CA
207RP1001X
Pulmonary Disease Physician
A82612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A502050
—
CA
05
—
00A651470
—
CA
05
—
00A826120
—
CO
05
—
00A836250
—
CA
05
—
00G327970
—
CA
05
—
00G435690
—
CA
01
—
CS2543
RAILROAD MEDICARE
CA
05
—
GR0053010
—
CA
01
—
ZZZ34060Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
05/24/2006
Last updated
02/25/2022
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