Organization Active NPI

Aveda Integrative Medical Center Inc

  • Specialist
  • Fremont, CA
National Provider Identifier
1396973426
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AVEDA INTEGRATIVE MEDICAL CENTER INC
Practice address
4077 Peralta Blvd
Fremont, CA 94536-4849
Phone
(510) 790-2144
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Dr. Deepti SaxenaNPI 1669494118
Title
President
Phone
(510) 229-9738

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4077 Peralta Blvd
Fremont, CA 94536-4849

Mailing address

43628 Skye Rd
Fremont, CA 94539-5925
Phone (510) 790-2144

National Provider Directory

National Provider Directory

Locations

4077 Peralta Blvd
Fremont, CA 94536
Phone (510) 790-2144

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": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1396973426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43628 SKYE RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395925",
            "telephone_number": "510-790-2144",
            "fax_number": "510-266-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 PERALTA BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364849",
            "telephone_number": "510-790-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEDA INTEGRATIVE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "DEEPTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-229-9738",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Jun 26, 2009; 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.