Organization Active NPI

Deccan Pacific Medical Group

  • Specialist
  • Fremont, CA
National Provider Identifier
1437379765
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A33814 Issued in CA
Legal business name
DECCAN PACIFIC MEDICAL GROUP
Practice address
1860 Mowry Ave Ste 400
Fremont, CA 94538-1730
Phone
(510) 284-4100
Fax
(510) 794-9783
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Dr. Ramesh C. Karipineni, M. D.
Title
President
Phone
(510) 284-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A33814 CA Primary

Addresses

Primary practice location

1860 Mowry Ave Ste 400
Fremont, CA 94538-1730

Mailing address

1860 Mowry Ave Ste 400
Fremont, CA 94538-1730
Phone (510) 284-4100

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ21948ZOtherCAMEDICARE ID TYPE

National Provider Directory

National Provider Directory

Locations

1860 Mowry Ave
Ste 201
Fremont, CA 94538
Phone (510) 284-4100

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1437379765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE STE 400",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-284-4100",
            "fax_number": "510-794-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE STE 400",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-284-4100",
            "fax_number": "510-794-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECCAN PACIFIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "KARIPINENI",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-284-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE",
            "identifier": "ZZZ21948Z",
            "state": "CA"
        }
    ],
    "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 Aug 8, 2014; 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.