Margochis Vedamuthu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95034607 Issued in CA

Practice address

4941 Bunkhouse Street
Fremont, CA 94555

Phone

(661) 330-2772

NPI assigned

Feb 26, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1417754433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 BUNKHOUSE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94555",
            "telephone_number": "661-444-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 BUNKHOUSE STREET",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94555",
            "telephone_number": "661-330-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Medical Plaza Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612867",
            "country_code": "US",
            "telephone_number": "916-786-7498",
            "fax_number": "916-482-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEDAMUTHU",
        "first_name": "MARGOCHIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "751125",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonella Marcella Vassallo
• Monika Vats
• Erick Vazquez
• Erika Vazquez
• Jason Vecchiarelli
• Aneeta Maria Vedula, MS, RD
• Annamalai Veerappan, M.D.
• Divya Veeturi
• Aniyah Vega
• Reina Maria Vega

• Family Nurse Practitioner in Fremont, CA
• Providers in Fremont, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.