Active NPI
Neil S. Fruman, M.D.
- Family Medicine Physician
- Lafayette, CA
National Provider Identifier
1982642047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G38040
- Practice address
- 3466 Mt Diablo Blvd
Suite C-104
Lafayette, CA 94549-7106 - Phone
- (925) 284-4442
- Fax
- (925) 283-8687
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G38040 | CA | Primary |
Addresses
Primary practice location
3466 Mt Diablo Blvd
Suite C-104
Lafayette, CA 94549-7106
Mailing address
Dept 34929
P.O. Box 39000
San Francisco, CA 94139-0001
Phone (925) 952-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G380400 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1982642047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 34929",
"address_2": "P.O. BOX 39000",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941390001",
"telephone_number": "925-952-2828",
"fax_number": "925-952-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3466 MT DIABLO BLVD",
"address_2": "SUITE C-104",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945497106",
"telephone_number": "925-284-4442",
"fax_number": "925-283-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUMAN",
"first_name": "NEIL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G38040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G380400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.