Active NPI
John A Engers, M.D.
- Psychiatry Physician
- Fremont, CA
National Provider Identifier
1083641864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C42499
- Practice address
- 1860 Mowry Ave Ste 200
Fremont, CA 94538-1730 - Phone
- (925) 837-0101
- Fax
- (925) 837-6311
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C42499 | CA | Primary |
Addresses
Primary practice location
1860 Mowry Ave Ste 200
Fremont, CA 94538-1730
Mailing address
PO Box 1117
Brentwood, CA 94513-3117
Phone (925) 785-4341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070406000279 | CA | Practitioner - Psychiatry | 4082718762 | Practice locations: Freemont, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C42499 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuman-Liles Clinic, Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Fremont, CA
- NPI 1164555660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1083641864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1117",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945133117",
"telephone_number": "925-785-4341",
"fax_number": "925-421-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 MOWRY AVE STE 200",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381730",
"telephone_number": "925-837-0101",
"fax_number": "925-837-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGERS",
"first_name": "JOHN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C42499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.