Individual provider Active NPI

Kevin J Morrissey, MD

  • Emergency Medicine Physician
  • Fremont, CA
National Provider Identifier
1942330949
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A48366 Issued in CA
Practice address
2000 Mowry Ave
Fremont, CA 94538-1716
Phone
(510) 791-3430
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A48366 CA Primary

Addresses

Primary practice location

2000 Mowry Ave
Fremont, CA 94538-1716

Mailing address

39159 Paseo Padre Pkwy
Suite 232
Fremont, CA 94538-1608
Phone (510) 791-5376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000194 CA Practitioner - Emergency Medicine 0042351231 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A48366CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Emergency Medicine CurrentSince Feb 10, 2003 Accepting new patients
Washington Township Hospital District Emergency Medicine CurrentSince Feb 10, 2003 Accepting new patients
Emergency Physicians Associates Overhead Operating Account Dennis Belo Emergency Medicine CurrentSince Jun 15, 2017 Accepting new patients
Emergency Physicians Associates Fremont PC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Bay Emergency Physician Specialists Inc Emergency Medicine Past Accepting new patients
San Francisco Emergency Medical Associates Emergency Medicine Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

Interoperability endpoints

  • Direct secure messaging: kevin.morrissey.1@17632.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942330949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY",
            "address_2": "SUITE 232",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381608",
            "telephone_number": "510-791-5376",
            "fax_number": "510-791-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-791-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSEY",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A48366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.