Knee Centers Nocal Medical Professional Corporation

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

A78391 Issued in CA

Legal business name

KNEE CENTERS NOCAL MEDICAL PROFESSIONAL CORPORATION

Practice address

2675 Stevenson Blvd
Fremont, CA 94538-2317

Phone

(510) 791-5633

Fax

(510) 791-5634

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Paul Hughes, M.D.

Title

Medical Director

Phone

(650) 504-8151

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hardeep S Reddick, PA-C

  • Medical Physician Assistant
  • Stanford, CA
  • NPI 1790940104
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1700134103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 W 500 S",
            "address_2": "SUITE 120",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108199",
            "telephone_number": "801-617-2100",
            "fax_number": "801-208-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 STEVENSON BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382317",
            "telephone_number": "510-791-5633",
            "fax_number": "510-791-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEE CENTERS NOCAL MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "650-504-8151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A78391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Klenoski
• Wendy Marie Klimback-Lee, OTR/L PAM
• Venus Klinger
• Rebecca Klint, MD
• KMBR Group Inc. (Front Medical Supply Company)
• Sherrie Denise Kneebone, N.P.
• Marci Claire Kneeter, PT
• Amy Nicole Knight, P.T.
• Noreen Gay Ciudadano Knox
• Sue Knox, MD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.