Individual provider Active NPI

Fred B Hom, MD

  • Pulmonary Disease Physician
  • San Rafael, CA
National Provider Identifier
1326130071
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G50415 Issued in CA
Practice address
70 Mitchell Blvd Ste 106
San Rafael, CA 94903-2019
Phone
(415) 479-6000
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G50415 CA
Pulmonary Disease Physician 207RP1001X G50415 CA Primary

Addresses

Primary practice location

70 Mitchell Blvd Ste 106
San Rafael, CA 94903-2019

Mailing address

70 Mitchell Blvd Ste 106
San Rafael, CA 94903-2019
Phone (415) 479-6000

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
I20050325000762 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7416903075 Reassigns benefits to 2 organizations
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Loyola University of Chicago, Stritch School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinese Hospital AssociationGroup PAC ID 9436042413, 37 clinicians

Practice addresses (Care Compare)

845 Jackson St
San Francisco, CA 94133-4851
Phone (415) 677-2399

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.23 of 100Reported as group
Quality
90.21
Promoting interoperability
100
Improvement activities
40
Cost
90.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G50415CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fred B Hom MD Inc Current Accepting new patients
Chinese Hospital Association CurrentSince Oct 1, 1983 Accepting new patients
Chinese Hospital Association CurrentSince Oct 1, 1983 Accepting new patients
Kenneth D Chan MD Inc Pulmonary Disease Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

70 Mitchell Blvd
Ste 106
San Rafael, CA 94903
Phone (415) 479-6000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1326130071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MITCHELL BLVD STE 106",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032019",
            "telephone_number": "415-479-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MITCHELL BLVD STE 106",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032019",
            "telephone_number": "415-479-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "FRED",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G50415",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G50415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.