Individual provider Active NPI

Manuel Antonio Hipol, P.A.

  • Medical Physician Assistant
  • Fremont, CA
National Provider Identifier
1235416710
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15853 Issued in CA
Practice address
37313 Maple St
Fremont, CA 94536-4848
Phone
(408) 404-5050
Fax
(408) 404-5500
NPI assigned
Nov 10, 2011
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15853 CA Primary

Addresses

Primary practice location

37313 Maple St
Fremont, CA 94536-4848

Mailing address

37313 Maple St
Fremont, CA 94536-4848
Phone (408) 404-5050

Other names 1

  • Manuel Antonio Hipol-Aldrich Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15853CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1235416710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37313 MAPLE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364848",
            "telephone_number": "408-404-5050",
            "fax_number": "408-404-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37313 MAPLE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364848",
            "telephone_number": "408-404-5050",
            "fax_number": "408-404-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPOL",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUEL",
            "last_name": "HIPOL-ALDRICH",
            "middle_name": "ANTONIO",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 19, 2012; 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.