Individual provider Active NPI

Tulsidas Rameshbhai Gwalani, M.D

  • Interventional Pain Medicine Physician
  • Fremont, CA
National Provider Identifier
1083717979
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A76626 Issued in CA
Practice address
656 Mowry Ave
Fremont, CA 94536-4113
Phone
(510) 818-9237
Fax
(510) 818-9222
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A76626 CA Primary

Addresses

Primary practice location

656 Mowry Ave
Fremont, CA 94536-4113

Mailing address

656 Mowry Ave
Fremont Pain Treatment Center
Fremont, CA 94536
Phone (510) 818-9237

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000177 CA Practitioner - Physical Medicine and Rehabilitation 0648164384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fremont Pain Treamtment CenterGroup PAC ID 9638321755, 4 clinicians

Practice addresses (Care Compare)

125 N Jackson Ave
Suite 106
San Jose, CA 95116-1915
Phone (408) 837-7252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76626CAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Pain Treamtment Center CurrentSince Sep 6, 2012 Accepting new patients
Mission Surgery Center, Inc. CurrentSince Aug 27, 2015 Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients

Locations

656 Mowry Ave
Fremont, CA 94536
Phone (510) 742-5511

125 N Jackson Ave
Ste 106
San Jose, CA 95116
Phone (408) 837-7252

125 N Jackson Ave
San Jose, CA 95116
Phone (917) 327-8836

Interoperability endpoints

  • Direct secure messaging: tgwalani231582@santaclaravalley.direct-ci.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1083717979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 MOWRY AVE",
            "address_2": "FREMONT PAIN TREATMENT CENTER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94536",
            "telephone_number": "510-818-9237",
            "fax_number": "510-818-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364113",
            "telephone_number": "510-818-9237",
            "fax_number": "510-818-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWALANI",
        "first_name": "TULSIDAS",
        "middle_name": "RAMESHBHAI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A76626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.