Organization Active NPI

Duke D. Fisher, MD Inc

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1487759205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C027357 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1467499632OtherCANPI DUKE DE FISHER, MD

National Provider Directory

National Provider Directory
Tax ID family
Duke D Fisher MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.