Fremont Internal Medicine Medical Associates,Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A48148 Issued in CA

Legal business name

FREMONT INTERNAL MEDICINE MEDICAL ASSOCIATES,INC

Practice address

556 Mowry Ave
Suite 200
Fremont, CA 94536-4186

Phone

(510) 796-0770

Fax

(510) 796-7099

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Noreen Singh

Title

Office Manager

Phone

(510) 468-1533

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fremont Internal Medicine Medical Associates,INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Harleen Kaur Dyal, M.D.

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1225424237

  CA, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Nicholas Andrew Phillips, M.D.

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1255727293

  CA

  Medicare reassignment Care Compare group NPD
• Devindar Singh, M.D.

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1447294624

  CA, Internal Medicine

  Medicare reassignment NPD
• Jui-Li Chang, FNP

  • Family Nurse Practitioner
  • Saratoga, CA
  • NPI 1821038068
  NPD (past)
• Aesil Cheun, NP

  • Family Nurse Practitioner
  • Martinez, CA
  • NPI 1184946741
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1669413365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 J ST UNIT 2656",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945368018",
            "telephone_number": "510-468-1533",
            "fax_number": "510-343-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 MOWRY AVE",
            "address_2": "SUITE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364186",
            "telephone_number": "510-796-0770",
            "fax_number": "510-796-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT INTERNAL MEDICINE MEDICAL ASSOCIATES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-468-1533"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A481480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Internal Medicine Medical Associates,INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fremont Nephrology Prof Corp
• Fremont Neurology Medical Associates Inc a Prof Medical Corp
• Fremont Optometric Group
• Fremont Optometric Vision Care Center

• All providers in Fremont, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.