Frederick S Wilson DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2105 Issued in CA

Legal business name

FREDERICK S WILSON DPM INC

Practice address

1895 Mowry Ave
Ste. 103
Fremont, CA 94538-1737

Phone

(510) 796-2191

Fax

(510) 796-2250

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fredrick Saul Wilson, DPM

Title

Podiatrist

Phone

(510) 796-2191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1831274976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE",
            "address_2": "STE. 103",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381737",
            "telephone_number": "510-796-2191",
            "fax_number": "510-796-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE",
            "address_2": "STE. 103",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381737",
            "telephone_number": "510-796-2191",
            "fax_number": "510-796-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK S WILSON DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "510-796-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Franco, FNP
• Natalia Franco
• Stephen John Franzino, MD
• Kandi Nicole Frazier
• Fred Morrison, MFT
• Amanda Ann Frederick
• Carl Fredrickson, DDS
• Freedom Hospice of the Bay LLC
• David R Freiheit, MD
• Fremont Ambulatory Surgery Center, L.P.

• Foot & Ankle Surgery Podiatrist in Fremont, CA
• Providers in Fremont, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.