Organization Active NPI

Asian Medical Clinic Fremont Inc

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1821137274
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76340 Issued in CA
Legal business name
ASIAN MEDICAL CLINIC FREMONT INC
Practice address
46356 Warm Springs Blvd
Suite 872
Fremont, CA 94539-7021
Phone
(510) 770-1300
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dr. Evelyn E Li, M.D.NPI 1235142761
Title
President
Phone
(510) 770-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G44210 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A76340 CA Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X G48660 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X C41936 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X C28271 CA

Addresses

Primary practice location

46356 Warm Springs Blvd
Suite 872
Fremont, CA 94539-7021

Mailing address

PO Box 14858
Fremont, CA 94539-1858

Other identifiers 1

IdentifierTypeStateIssuer
GR0098780MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224001037 CA Part B Supplier - Clinic/Group Practice 0547156861 Receives reassigned benefits from 3 practitioners
Practice locations: Fremont, CA; Hayward, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2014446Asian Medical Clinic of Fremont46356 Warm Springs Blvd Ste 872, Fremont, CA 94539Provider-performed microscopyOct 10, 2026

National Provider Directory

National Provider Directory

Locations

1895 Mowry Ave
Ste 101
Fremont, CA 94538
Phone (510) 713-1300

1895 Mowry Ave
Ste 118B
Fremont, CA 94538
Phone (510) 770-1300

1895 Mowry Ave
#101
Fremont, CA 94538
Phone (510) 713-1300

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1821137274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14858",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945391858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46356 WARM SPRINGS BLVD",
            "address_2": "SUITE 872",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397021",
            "telephone_number": "510-770-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN MEDICAL CLINIC FREMONT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-770-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G44210",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76340",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G48660",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C41936",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C28271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098780",
            "state": "CA"
        }
    ],
    "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 May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.