Organization Active NPI

Fulton Chen MD Inc

  • Physical Medicine & Rehabilitation Physician
  • Fremont, CA
National Provider Identifier
1811299175
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A55609 Issued in CA
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

Updated by the provider on Mar 6, 2012

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.