Organization Active NPI

April L Fredian

  • Family Medicine Physician
  • Alameda, CA
National Provider Identifier
1336643303
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A108550 Issued in CA
Legal business name
APRIL L FREDIAN
Practice address
450 Park St Ste 100B
Alameda, CA 94501-6257
Phone
(510) 992-3104
Fax
(510) 227-6890
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
April Fredian, MDNPI 1700999844
Title
MD/Owner
Phone
(510) 992-3104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A108550 CA Primary

Addresses

Primary practice location

450 Park St Ste 100B
Alameda, CA 94501-6257

Mailing address

450 Park St Ste 100B
Alameda, CA 94501-6257
Phone (510) 992-3104

Other names 1

  • Lake Merritt Family Practice Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2071350Lake Merritt Family Practice450 Park St Ste 100B, Alameda, CA 94501Provider-performed microscopyJan 9, 2028

National Provider Directory

National Provider Directory

Locations

450 Park St
Ste 100B
Alameda, CA 94501
Phone (510) 334-5258

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1336643303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PARK ST STE 100B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016257",
            "telephone_number": "510-992-3104",
            "fax_number": "510-227-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PARK ST STE 100B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016257",
            "telephone_number": "510-992-3104",
            "fax_number": "510-227-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APRIL L FREDIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "FREDIAN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "510-992-3104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A108550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Merritt Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.