Active NPI
David Alan Ehrenfeld, M.D.
- Emergency Medicine Physician
- Fairfield, CA
National Provider Identifier
1417051830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C32813
- Practice address
- 1101 B Gale Wilson Blvd
Ste 203
Fairfield, CA 94533-3700 - Phone
- (707) 429-7701
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C32813 | CA | Primary |
Addresses
Primary practice location
1101 B Gale Wilson Blvd
Ste 203
Fairfield, CA 94533-3700
Mailing address
5000 Hopyard Rd
Suite 100
Pleasanton, CA 94583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C32813 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417051830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 HOPYARD RD",
"address_2": "SUITE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "94583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 B GALE WILSON BLVD",
"address_2": "STE 203",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333700",
"telephone_number": "707-429-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRENFELD",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C32813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.