Individual provider Active NPI

Priyanka Gwalani

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1972958247
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A161688 Issued in CA
Practice address
656 Mowry Ave.
Fremont, CA 94536
Phone
(510) 818-9237
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A161688 CA Primary

Addresses

Primary practice location

656 Mowry Ave.
Fremont, CA 94536

Mailing address

656 Mowry Ave
Fremont, CA 94536-4113
Phone (510) 818-9237

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
I20250919002578 CA Practitioner - Internal Medicine 9830485416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Drexel University College of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Fremont Pain Treamtment CenterGroup PAC ID 9638321755, 4 clinicians

Practice addresses (Care Compare)

656 Mowry Ave
Fremont, CA 94536-4113
Phone (510) 818-9237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161688CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Pain Treamtment Center CurrentSince Jul 7, 2025 Accepting new patients

Locations

656 Mowry Ave
Fremont, CA 94536
Phone (510) 742-5511

125 N Jackson Ave
Ste 106
San Jose, CA 95116
Phone (408) 837-7252

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.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1972958247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364113",
            "telephone_number": "510-818-9237",
            "fax_number": "510-818-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 MOWRY AVE.",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94536",
            "telephone_number": "510-818-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWALANI",
        "first_name": "PRIYANKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A161688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.