Active NPI
Jason William Fischer, M.D.
- Emergency Medicine Physician
- Oakland, CA
National Provider Identifier
1790919959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A92605
- Practice address
- 1 Lakeside Dr
Apartment 1002
Oakland, CA 94612-4620 - Phone
- (510) 834-3036
- NPI assigned
- May 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A92605 | CA | Primary |
Addresses
Primary practice location
1 Lakeside Dr
Apartment 1002
Oakland, CA 94612-4620
Mailing address
One Lakeside Drive
Apartment 1002
Oakland, CA 94612
Phone (510) 834-3036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A92605 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1790919959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE LAKESIDE DRIVE",
"address_2": "APARTMENT 1002",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94612",
"telephone_number": "510-834-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LAKESIDE DR",
"address_2": "APARTMENT 1002",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946124620",
"telephone_number": "510-834-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "JASON",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A92605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.