Active NPI
Duke D. Fisher, MD Inc
- Psychiatry Physician
- San Jose, CA
National Provider Identifier
1487759205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C027357
- Legal business name
- DUKE D. FISHER, MD INC
- Practice address
- 841 Blossom Hill Rd
Suite 209
San Jose, CA 95123 - Phone
- (831) 372-3018
- NPI assigned
- Sep 14, 2006
- 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
- Duke De Fisher, MD
- Title
- Physician
- Phone
- (408) 363-6533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C027357 | CA | Primary |
Addresses
Primary practice location
841 Blossom Hill Rd
Suite 209
San Jose, CA 95123
Mailing address
1010 Cass St
Suite C-3
Monterey, CA 93940
Phone (408) 363-6533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467499632 | Other | CA | NPI DUKE DE FISHER, MD |
National Provider Directory
National Provider Directory- Tax ID family
- Duke D Fisher MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Monterey, CA
- NPI 1699879619
Locations
841 Blossom Hill Rd
Ste 209
San Jose, CA 95123
Phone (408) 363-6533
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Long Beach, CA
- NPI 1992972624
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilroy, CA
- NPI 1538369939
-
- Medical Physician Assistant
- Taft, CA
- NPI 1710210232
-
- Family Nurse Practitioner
- Oakland, CA
- NPI 1063783066
-
- Child & Adolescent Psychiatry Physician
- Petaluma, CA
- NPI 1124105085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487759205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CASS ST",
"address_2": "SUITE C-3",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "408-363-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 BLOSSOM HILL RD",
"address_2": "SUITE 209",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95123",
"telephone_number": "831-372-3018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUKE D. FISHER, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "DUKE",
"authorized_official_middle_name": "DE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "408-363-6533",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C027357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI DUKE DE FISHER, MD",
"identifier": "1467499632",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.