Fremont Vascular and Vein Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

C51977 Issued in CA

Legal business name

FREMONT VASCULAR AND VEIN INC

Practice address

1900 Mowry Ave
Suite 404
Fremont, CA 94538-1722

Phone

(510) 509-2690

NPI assigned

Apr 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rakesh Safaya, M.D.

Title

Ceo

Phone

(510) 557-8812

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1023452018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE",
            "address_2": "SUITE 404",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-509-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE",
            "address_2": "SUITE 404",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-509-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT VASCULAR AND VEIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "SAFAYA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-557-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C51977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fremont Sleep Apnea Center, LLC
• Fremont SNF Healthcare, LLC
• Fremont Surgery Center North
• Fremont Unified School District
• Fremont Uniform and Medical Supply Inc
• Fremont Vision Optix Optometry
• Marietta Frey, MD
• Jamilah Friday, M.D.
• Stephanie Friduss, MD
• Stephen Friedkin, MD

• Specialist in Fremont, CA
• Providers in Fremont, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.