Fremont Rideout Medical Group Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

FREMONT RIDEOUT MEDICAL GROUP INC

Practice address

370 Del Norte Ave
Yuba City, CA 95991

Phone

(530) 751-4800

Fax

(530) 751-4884

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Serafin, MD

Title

Group President

Phone

(530) 751-4800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• North Valley Anes Med Grp Inc Doing business as

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1962455477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DEL NORTE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-751-4800",
            "fax_number": "530-751-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT RIDEOUT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "SERAFIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "530-751-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ04808Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092252",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Valley Anes Med Grp Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Marie Rhoads Fowler
• Diana Franco, MD
• Cosmo Lyle Fraser, MD
• Fremont Medical Center
• Fremont Rideout Medical Group Inc
• Fremont-Rideout Health Group
• Fremont-Rideout Management Services Organization, Inc.
• Lori Marie Freschi-Rickey, OTR/L
• Maria Frias
• John H Friend, MD

• Anesthesiology Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.