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

Last updated

May 18, 2012By the provider in NPPES

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.NPI 1962440263

Title

Ceo

Phone

(510) 501-8681

Specialties & licenses 2

Addresses

Other names 1

• FREMONT NEPHROLOGY Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Tay, M.D.

  • Specialist
  • Fremont, CA
  • NPI 1962440263
  Authorized official Same address or phone
• 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 Healthcare Center)
• 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.