Individual provider Active NPI

Fredric Charles Morgan, M.D.

  • General Practice Physician
  • Pleasanton, CA
National Provider Identifier
1528098860
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G60914 Issued in CA
Practice address
5776 Stoneridge Mall Rd
Suite 175
Pleasanton, CA 94588-2832
Phone
(925) 600-0660
Fax
(925) 600-0987
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G60914 CA Primary

Addresses

Primary practice location

5776 Stoneridge Mall Rd
Suite 175
Pleasanton, CA 94588-2832

Mailing address

5776 Stoneridge Mall Rd
Suite 175
Pleasanton, CA 94588-2832
Phone (925) 600-0660

Other identifiers 1

IdentifierTypeStateIssuer
00G609140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60914CAMDGeneral Practice Dentistry
G60914CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1528098860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 STONERIDGE MALL RD",
            "address_2": "SUITE 175",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882832",
            "telephone_number": "925-600-0660",
            "fax_number": "925-600-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 STONERIDGE MALL RD",
            "address_2": "SUITE 175",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882832",
            "telephone_number": "925-600-0660",
            "fax_number": "925-600-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "FREDRIC",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G60914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G609140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.