NPIMap

Organization Active NPI

John Giddens Jr M.D. Inc

Doing business as Fremont Urgent Care

  • Urgent Care Clinic/Center
  • Fremont, CA
National Provider Identifier
1174634216
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
JOHN GIDDENS JR M.D. INC
Doing business as
Fremont Urgent Care
Practice address
3161 Walnut Avenue
Fremont, CA 94538
Phone
(510) 796-1000
Fax
(510) 796-1050
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
John Giddens Jr., M.D.
Title
Medical Director
Phone
(510) 796-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3161 Walnut Avenue
Fremont, CA 94538

Mailing address

PO Box 1129
Danville, CA 94526-8129
Phone (510) 796-1000

Other names 1

  • Fremont Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

3161 Walnut Ave
Fremont, CA 94538
Phone (510) 796-1000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1174634216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945268129",
            "telephone_number": "510-796-1000",
            "fax_number": "510-796-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 WALNUT AVENUE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-796-1000",
            "fax_number": "510-796-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GIDDENS JR M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "GIDDENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-796-1000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 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.