Individual provider Active NPI

Nicholas Andrew Phillips, M.D.

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1255727293
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A153125 Issued in CA
Practice address
39001 Sundale Dr
Fremont, CA 94538-2005
Phone
(510) 796-1100
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A153125 CA Primary

Addresses

Primary practice location

39001 Sundale Dr
Fremont, CA 94538-2005

Mailing address

160 J St Unit 2656
Fremont, CA 94536-8018
Phone (510) 468-1533

Other practice location 1

455 Silicon Valley Blvd
San Jose, CA 95138-1858
Phone (510) 468-1533

Other practice location 2

2171 Mowry Ave
Fremont, CA 94538-1717
Phone (510) 468-1533

Other practice location 3

2633 E 27th St
Oakland, CA 94601-1912
Phone (510) 468-1533

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
I20180724003813 CA Practitioner - Family Practice 7113232562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Internal Medicine Medical Associates,IncGroup PAC ID 9436186111, 2 clinicians

Practice addresses (Care Compare)

556 Mowry Ave
Suite 200
Fremont, CA 94536-4186
Phone (510) 468-1533

Hospital & facility affiliations

  • Washington Hospital Hospital, Fremont, CA, CCN 050195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153125CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Internal Medicine Medical Associates,Inc CurrentSince Jul 1, 2018 Accepting new patients

Locations

556 Mowry Ave
Ste 200
Fremont, CA 94536
Phone (510) 468-1533

39120 Argonaut Way
Fremont, CA 94538
Phone (510) 378-3036

160 J St
Unit 2656
Fremont, CA 94536

39001 Sundale Dr
Fremont, CA 94538
Phone (510) 796-1100

Interoperability endpoints

  • Direct secure messaging: nphillips101738@direct.whhs.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1255727293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 J ST UNIT 2656",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945368018",
            "telephone_number": "510-468-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39001 SUNDALE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382005",
            "telephone_number": "510-796-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Silicon Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951381858",
            "country_code": "US",
            "telephone_number": "510-468-1533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2171 Mowry Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381717",
            "country_code": "US",
            "telephone_number": "510-468-1533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 E 27th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946011912",
            "country_code": "US",
            "telephone_number": "510-468-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NICHOLAS",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A153125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.