Healthcare Provider Details

I. General information

NPI: 1275057762
Provider Name (Legal Business Name): ONE MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 11/21/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EMBARCADERO CENTER SUITE 1900
SAN FRANCISCO CA
94111
US

IV. Provider business mailing address

1170 BORDEAUX DRIVE, BLDG 3
SUNNYVALE CA
94089
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-252-7176
Mailing address:
  • Phone: 888-201-1937
  • Fax: 650-227-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. ANDREW DIAMOND
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 888-663-6331