Individual provider Active NPI

Fernando Quijano Palumpon, RESP THERAPIST

  • Certified Respiratory Therapist
  • Fremont, CA
National Provider Identifier
1972513869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
3213 Issued in CA
Practice address
768 Lippert Ave.
Fremont, CA 94539
Phone
(925) 373-4700
Fax
(925) 449-6410
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 3213 CA Primary

Addresses

Primary practice location

768 Lippert Ave.
Fremont, CA 94539

Mailing address

768 Lippert Ave
Fremont, CA 94539-7449
Phone (925) 373-4700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3213CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972513869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 LIPPERT AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397449",
            "telephone_number": "925-373-4700",
            "fax_number": "925-449-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 LIPPERT AVE.",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94539",
            "telephone_number": "925-373-4700",
            "fax_number": "925-449-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMPON",
        "first_name": "FERNANDO",
        "middle_name": "QUIJANO",
        "credential": "RESP THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "3213",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 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.