Active NPI
Stella Edet Asuquo, M.D.
- Vascular Surgery Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A156838
- Practice address
- 39141 Civic Center Dr Ste 335
Fremont, CA 94538-5878 - Phone
- (510) 248-1420
- Fax
- (510) 791-2874
- NPI assigned
- Jun 28, 2010
- Last updated
- Aug 29, 2022
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A156838 | CA | Primary |
Addresses
Primary practice location
39141 Civic Center Dr Ste 335
Fremont, CA 94538-5878
Mailing address
2500 Mowry Ave Ste 255
Fremont, CA 94538-1605
Phone (510) 248-1000
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Indiana University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39141 Civic Ctr Dr
Suite 335
Fremont, CA 94538-5878
Phone (510) 248-1400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156838 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svmhs Clinics | Current | Accepting new patients | |
| Washington Township Medical Foundation | Vascular Surgery | Current | Accepting new patients |
| Svmhs Clinics | Current | Accepting new patients | |
| Washington Township Medical Foundation | Current | Accepting new patients | |
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients | |
| Washington Township Medical Group | Past | Accepting new patients |
Locations
2500 Mowry Ave
Ste 255
Fremont, CA 94538
39141 Civic Center Dr
Ste 335
Fremont, CA 94538
Phone (510) 248-1400
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866
236 San Jose St
Salinas, CA 93901
Phone (831) 422-2666
Interoperability endpoints
- sasuquo142931@direct.whhs.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
Vascular Surgery
-
dba Salinas Valley Health Clinics
- Multi-Specialty Clinic/Center
- Salinas, CA
- NPI 1093158347
-
- Physical Therapist
- Salinas, CA
- NPI 1518486893
-
dba Washington Health Urgent Care
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
-
- Specialist
- Salinas, CA
- NPI 1134279532
-
- Family Medicine Physician
- Fremont, CA
- NPI 1174675417
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Milpitas, CA
- NPI 1982979316
-
dba Washington Hospital
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1437460177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MOWRY AVE STE 255",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381605",
"telephone_number": "510-248-1000",
"fax_number": "510-608-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39141 CIVIC CENTER DR STE 335",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385878",
"telephone_number": "510-248-1420",
"fax_number": "510-791-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASUQUO",
"first_name": "STELLA",
"middle_name": "EDET",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A156838",
"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 Aug 29, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.