Active NPI
Gloria G. Carreon, MD, Professional Corp
- Internal Medicine Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A063278
- Legal business name
- GLORIA G. CARREON, MD, PROFESSIONAL CORP
- Practice address
- 1900 Mowry Ave
Suite 202
Fremont, CA 94538-1722 - Phone
- (510) 797-1554
- Fax
- (510) 797-1555
- NPI assigned
- Jul 31, 2006
- Last updated
- Aug 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gloria Gaeta Carreon, M.D.
- Title
- President
- Phone
- (510) 797-1554
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A063278 | CA | Primary |
Addresses
Primary practice location
1900 Mowry Ave
Suite 202
Fremont, CA 94538-1722
Mailing address
PO Box 7390
Fremont, CA 94537-7390
Phone (510) 745-6532
National Provider Directory
National Provider DirectoryLocations
1900 Mowry Ave
Ste 202
Fremont, CA 94538
Phone (510) 797-1554
1900 Mowry Ave
Ste 305
Fremont, CA 94538
Phone (510) 713-8595
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1194937649
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1568512432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312848000000",
"number": "1457366833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7390",
"city": "FREMONT",
"state": "CA",
"postal_code": "945377390",
"telephone_number": "510-745-6532",
"fax_number": "510-797-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MOWRY AVE",
"address_2": "SUITE 202",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381722",
"telephone_number": "510-797-1554",
"fax_number": "510-797-1555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORIA G. CARREON, MD, PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2011-08-09",
"status": "A",
"authorized_official_last_name": "CARREON",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "GAETA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-797-1554",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A063278",
"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 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.