Fremont Nephrology Prof Corp

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G63140 Issued in CA

Legal business name

FREMONT NEPHROLOGY PROF CORP

Practice address

39233 Liberty St
Fremont, CA 94538-1501

Phone

(510) 795-8186

Fax

(510) 792-8186

NPI assigned

Nov 9, 2008

Organization subpart

No

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

Authorized official

Name

David T Tay, M.D.

Title

Ceo

Phone

(510) 501-8681

Specialties & licenses 2

Addresses

Other names 1

• FREMONT NEPHROLOGY Other name

Practitioners 2

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

• Cecillia Y Sun, R.D.

  • Renal Nutrition Registered Dietitian
  • Fremont, CA
  • NPI 1609192335
  NPD (past)
• Cristina Maria Arce, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1801984133

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1326292012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39270 PASEO PADRE PKWY",
            "address_2": "SUITE 518",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381616",
            "telephone_number": "510-795-8186",
            "fax_number": "510-792-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39233 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381501",
            "telephone_number": "510-795-8186",
            "fax_number": "510-792-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT NEPHROLOGY PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-09",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "TAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-501-8681",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G63140",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G63140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREMONT NEPHROLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fremont Family & Sports Chiropractic
• Fremont Healthcare Operating Company, LP
• Fremont Hearing Aid Center
• Fremont Internal Medicine Medical Associates,Inc
• Fremont Medical Group, Inc.
• Fremont Neurology Medical Associates Inc a Prof Medical Corp
• Fremont Optometric Group
• Fremont Optometric Vision Care Center
• Fremont Oral & Maxillofacial Surgery
• Fremont Orthopaedic Medical Group, Apc

• Nephrology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.