Active NPI
Vera A Fritsch, D.M.D.
- General Practice Dentistry
- San Leandro, CA
National Provider Identifier
1427156546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43243
- Practice address
- 505 Estudillo Ave
Ste. B
San Leandro, CA 94577-4611 - Phone
- (510) 352-6484
- Fax
- (510) 352-2095
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43243 | CA | Primary |
Addresses
Primary practice location
505 Estudillo Ave
Ste. B
San Leandro, CA 94577-4611
Mailing address
505 Estudillo Ave
Ste. B
San Leandro, CA 94577-4611
Phone (510) 352-6484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43243 | Other | CA | STATE DENTIST ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160708001529 | CA | Order and Referring Only - Other (Physician) | 6305138538 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43243 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427156546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ESTUDILLO AVE",
"address_2": "STE. B",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774611",
"telephone_number": "510-352-6484",
"fax_number": "510-352-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ESTUDILLO AVE",
"address_2": "STE. B",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774611",
"telephone_number": "510-352-6484",
"fax_number": "510-352-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITSCH",
"first_name": "VERA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTIST ID NUMBER",
"identifier": "43243",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.