Active NPI
Parvez Fatteh, MD a Medical Corporation
- Pain Medicine Physician
- Fremont, CA
National Provider Identifier
1518217769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A66560
- Legal business name
- PARVEZ FATTEH, MD A MEDICAL CORPORATION
- Practice address
- 2287 Mowry Ave
Ste. H
Fremont, CA 94538-1622 - Phone
- (510) 742-5795
- Fax
- (510) 742-5799
- NPI assigned
- Sep 14, 2012
- 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. Parvez Mehboob Fatteh, M.D.
- Title
- President
- Phone
- (510) 742-5795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | A66560 | CA | Primary |
Addresses
Primary practice location
2287 Mowry Ave
Ste. H
Fremont, CA 94538-1622
Mailing address
5820 Stoneridge Mall Rd
#203
Pleasanton, CA 94588-3274
Phone (510) 742-5795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A66560 | Other | CA | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347580800000",
"number": "1518217769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 STONERIDGE MALL RD",
"address_2": "#203",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883274",
"telephone_number": "510-742-5795",
"fax_number": "510-742-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2287 MOWRY AVE",
"address_2": "STE. H",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381622",
"telephone_number": "510-742-5795",
"fax_number": "510-742-5799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARVEZ FATTEH, MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A",
"authorized_official_last_name": "FATTEH",
"authorized_official_first_name": "PARVEZ",
"authorized_official_middle_name": "MEHBOOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-742-5795",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A66560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A66560",
"state": "CA"
}
],
"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 Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.