NPIMap

Organization Active NPI

Mobile-Med Work Health Solutions Inc

  • Occupational Medicine Physician
  • San Jose, CA
National Provider Identifier
1003499294
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
MOBILE-MED WORK HEALTH SOLUTIONS INC
Practice address
2101 Forest Ave Ste 220a
San Jose, CA 95128-1473
Phone
(408) 833-6192
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dean Frieders
Title
Chief Solutions Officer
Phone
(650) 585-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

2101 Forest Ave Ste 220a
San Jose, CA 95128-1473

Mailing address

2101 Forest Ave Ste 220a
San Jose, CA 95128-1473
Phone (408) 833-6192

Other names 1

  • Work Health Solutions Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://qportal.liquidemr.com/LaunchEMR Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2192889Mobile-Med Work Health Solutions2101 Forest Ave Ste 220a, San Jose, CA 95128Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mobile-Med Work Health Solutions Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1003499294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE STE 220A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281473",
            "telephone_number": "408-833-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE STE 220A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281473",
            "telephone_number": "408-833-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE-MED WORK HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "FRIEDERS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CHIEF SOLUTIONS OFFICER",
        "authorized_official_telephone_number": "650-585-2201"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://qportal.liquidemr.com/LaunchEMR",
            "affiliation": "N",
            "endpointDescription": "Liquid EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "2101 Forest Ave Ste 220A",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951281473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Work Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.