Organization Active NPI

Fredric C Morgan, MD, Inc

  • General Practice Physician
  • Pleasanton, CA
National Provider Identifier
1629375001
Registry record updated Feb 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G60914 Issued in CA
Legal business name
FREDRIC C MORGAN, MD, INC
Practice address
1491 Cedarwood LN
Suite a
Pleasanton, CA 94566-6154
Phone
(925) 600-0503
Fax
(925) 484-2802
NPI assigned
Feb 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2011

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

Authorized official

Name
Dr. Fredric C Morgan, MD
Title
MD
Phone
(925) 600-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X G60914 CA Primary

Addresses

Primary practice location

1491 Cedarwood LN
Suite a
Pleasanton, CA 94566-6154

Mailing address

1491 Cedarwood LN
Suite a
Pleasanton, CA 94566-6154
Phone (925) 600-0503

National Provider Directory

National Provider Directory

Locations

1491 Cedarwood Ln
Ste A
Pleasanton, CA 94566
Phone (925) 600-0503

NPI Registry JSON

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

{
    "created_epoch": "1298073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1629375001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 CEDARWOOD LN",
            "address_2": "SUITE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666154",
            "telephone_number": "925-600-0503",
            "fax_number": "925-484-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 CEDARWOOD LN",
            "address_2": "SUITE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666154",
            "telephone_number": "925-600-0503",
            "fax_number": "925-484-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC C MORGAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-19",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "925-600-0503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G60914",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 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.