Organization Active NPI

Fatimalourdes Medical and Nursing Inc

  • Nursing Home Administrator
  • Fremont, CA
National Provider Identifier
1417884602
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
FATIMALOURDES MEDICAL AND NURSING INC
Practice address
4471 Gina St
Fremont, CA 94538-2857
Phone
(408) 887-0534
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Gloria E Follosco, FNPNPI 1174145940
Title
Owner
Phone
(718) 233-9122

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
Nursing Home AdministratorGroup: 193200000X MULTI-SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

4471 Gina St
Fremont, CA 94538-2857

Mailing address

4471 Gina St
Fremont, CA 94538-2857
Phone (408) 887-0534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260624000964 CA Part B Supplier - Clinic/Group Practice 0941773782 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Cruz, CA; Watsonville, CA; Union City, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1417884602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 GINA ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382857",
            "telephone_number": "408-887-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 GINA ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382857",
            "telephone_number": "408-887-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATIMALOURDES MEDICAL AND NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "FOLLOSCO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-233-9122",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "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 May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.