Active NPI
Fulton Chen MD Inc
- Physical Medicine & Rehabilitation Physician
- Fremont, CA
National Provider Identifier
1811299175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A55609
- Legal business name
- FULTON CHEN MD INC
- Practice address
- 1999 Mowry Ave Ste S
Fremont, CA 94538-1723 - Phone
- (510) 739-1922
- Fax
- (510) 739-1925
- NPI assigned
- Nov 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fulton Sheen Chen, MD
- Title
- President
- Phone
- (510) 739-1922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A55609 | CA | Primary |
Addresses
Primary practice location
1999 Mowry Ave Ste S
Fremont, CA 94538-1723
Mailing address
1999 Mowry Ave
Suite S
Fremont, CA 94538-1738
Phone (510) 739-1922
National Provider Directory
National Provider DirectoryLocations
1999 Mowry Ave
Ste S
Fremont, CA 94538
Phone (510) 739-1922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1811299175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 MOWRY AVE",
"address_2": "SUITE S",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381738",
"telephone_number": "510-739-1922",
"fax_number": "510-739-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 MOWRY AVE STE S",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381723",
"telephone_number": "510-739-1922",
"fax_number": "510-739-1925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULTON CHEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-18",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "FULTON",
"authorized_official_middle_name": "SHEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-739-1922",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A55609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.