Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fallon Vanessa Dimaano, DO

Individual provider Surgery Physician · NPI 1326587478

Fallon Vanessa Dimaano, DO is a Surgical Oncology in Detroit, Michigan. Qualified in 2017, 9 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
9
Licensed in
CA, MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2799 W Grand Blvd Ste 3A
Detroit, MI 48202-2608
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3883 Airway Dr Ste 220, Santa Rosa, CA 95403-1671 — (707) 541-7900

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101026948 (MI)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 20A21328 (CA)

Record details

NPI number1326587478
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 21, 2017
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySURGICAL ONCOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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