Individual provider Active NPI

Syed Muzaffar Munir, M.D.

  • Psychiatry Physician
  • Fremont, CA
National Provider Identifier
1790718815
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15074R Issued in LA
Practice address
39001 Sundale Dr
Fremont, CA 94538
Phone
(318) 426-9228
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15074R LA Primary

Addresses

Primary practice location

39001 Sundale Dr
Fremont, CA 94538

Mailing address

PO Box 1802
Department of Psychiatry
Fremont, CA 94538-0180
Phone (318) 813-2445

Other identifiers 1

IdentifierTypeStateIssuer
1158968MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121207000312 CA Practitioner - Psychiatry 7618136326 Reassigns benefits to 1 organization
Practice locations: Fremont, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15074RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services CurrentSince Mar 2, 2024 Accepting new patients
Hope Services CurrentSince Mar 2, 2024 Accepting new patients
SJBH, LLC Past Accepting new patients
Munir and Associates Psychiatry Past Accepting new patients

Locations

1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402

Interoperability endpoints

  • Direct secure messaging: smunir828508@direct.ochin.org

Organizations & group practices 4

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1790718815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1802",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945380180",
            "telephone_number": "318-813-2445",
            "fax_number": "318-813-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39001 SUNDALE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "318-426-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIR",
        "first_name": "SYED",
        "middle_name": "MUZAFFAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "15074R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158968",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.