NPIMap

Organization Active NPI

City of Fremont

  • Community/Behavioral Health Agency
  • Fremont, CA
National Provider Identifier
1306934252
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CITY OF FREMONT
Practice address
3300 Capitol Ave
BLDG B
Fremont, CA 94538-1514
Phone
(510) 574-2050
Fax
(510) 574-2054
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Arquimides Caldera
Title
Deputy Director
Phone
(510) 574-2056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3300 Capitol Ave
BLDG B
Fremont, CA 94538-1514

Mailing address

3300 Capitol Ave
BLDG B
Fremont, CA 94538-1514
Phone (510) 574-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000643 CA Part B Supplier - Clinic/Group Practice 5991880007 Receives reassigned benefits from 6 practitioners
Practice locations: Fremont, CA

National Provider Directory

National Provider Directory

Locations

40086 Paseo Padre Pkwy
Fremont, CA 94538
Phone (510) 574-2050

3300 Capitol Ave
Fremont, CA 94538
Phone (510) 574-2032

39155 Liberty St
Fremont, CA 94538
Phone (510) 574-2100

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1306934252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CAPITOL AVE",
            "address_2": "BLDG B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381514",
            "telephone_number": "510-574-2050",
            "fax_number": "510-574-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CAPITOL AVE",
            "address_2": "BLDG B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381514",
            "telephone_number": "510-574-2050",
            "fax_number": "510-574-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "CALDERA",
        "authorized_official_first_name": "ARQUIMIDES",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "510-574-2056"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.