Organization Active NPI

Gloria G. Carreon, MD, Professional Corp

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1457366833
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A063278 Issued in CA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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.NPI 1194937649
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.