Freeport Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A052833 Issued in CA

Legal business name

FREEPORT MEDICAL CENTER INC

Practice address

1620 35TH Avenue
Ste a
Sacramento, CA 95822

Phone

(916) 457-3681

Fax

(916) 457-2938

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Kingman Tung, MD

Title

Director

Phone

(916) 457-3681

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kingman Tung MD Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carole Chan-You, M.D.

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1164657987
  NPD (past)
• Allen I Lin, DO

  • Emergency Medicine Physician
  • Elk Grove, CA
  • NPI 1841271814
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649284555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 35TH AVENUE",
            "address_2": "STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95822",
            "telephone_number": "916-457-3681",
            "fax_number": "916-457-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 35TH AVENUE",
            "address_2": "STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95822",
            "telephone_number": "916-457-3681",
            "fax_number": "916-457-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "KINGMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-457-3681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A052833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A528330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingman Tung MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michela Freeman
• Molly Freeman, LCSW
• Sharon Freeman
• Tedford Harold Freeman II
• Katie Freeny, LCSW
• Mikaela Freer
• Christopher Freese, DPT
• Keegan Fregeau
• Anna M Fregoso, RN
• Gabriel Fregoso, MD

• Family Medicine Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Family Medicine Physician in California

• 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.