Individual provider · Type 1 NPI
Samuel Dismond Iii, MD
General Practice Physician · Oakland, CA
NPI number
1801899570
Active
Practice location
436 14th St Ste 1529
Oakland, CA 94612-2703
Fax (510) 405-6147
Mailing address
PO Box 2238
Sebastopol, CA 95473-2238
Other practice locations
- 17322 Murphy Ave, Irvine, CA 92614-5920 · (510) 727-5126
- 1201 J St Ste 200, Sacramento, CA 95814-2949 · (510) 727-5126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G62220 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1801899570
Samuel Dismond Iii, MD's National Provider Identifier is 1801899570, issued on May 24, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oakland, CA. The record was last updated on Apr 9, 2022.