Healthsource Global

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

955322 Issued in CA

Legal business name

HEALTHSOURCE GLOBAL

Practice address

39270 Paseo Padre Pkwy
138
Fremont, CA 94538-1616

Phone

(800) 458-8973

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Roland Domingo

Title

Manager

Phone

(800) 458-8973

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1174911465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39270 PASEO PADRE PKWY",
            "address_2": "138",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381616",
            "telephone_number": "800-458-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39270 PASEO PADRE PKWY",
            "address_2": "138",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381616",
            "telephone_number": "800-458-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE GLOBAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-458-8973"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "955322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Fremont, CA
• Providers in Fremont, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.