Active NPI
Karim M Hussain, MD
- Cardiovascular Disease Physician
- Fremont, CA
National Provider Identifier
1881723971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A29548
- Practice address
- 3755 Beacon Ave
Fremont, CA 94538-1411 - Phone
- (510) 797-1600
- NPI assigned
- Mar 5, 2007
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A29548 | CA | Primary |
Addresses
Primary practice location
3755 Beacon Ave
Fremont, CA 94538-1411
Mailing address
38480 Crosspointe CMN
Fremont, CA 94536-3286
Phone (510) 585-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A295481 | Medicaid | CA | |
| 00A295481 | Other | CA | BLUE SHIELD OF CA PIN |
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 |
|---|---|---|---|
| A29548 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Hospital District | Current | Accepting new patients |
Locations
3155 Kearney St
Ste 210
Fremont, CA 94538
Phone (510) 790-2202
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1154472058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1881723971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38480 CROSSPOINTE CMN",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363286",
"telephone_number": "510-585-5300",
"fax_number": "510-629-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 BEACON AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381411",
"telephone_number": "510-797-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "KARIM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A29548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A295481",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA PIN",
"identifier": "00A295481",
"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 Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.