Organization Active NPI

Sandeep M. Kunwar, M.D., Inc.

  • Specialist
  • Fremont, CA
National Provider Identifier
1982719365
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G81422 Issued in CA
Legal business name
SANDEEP M. KUNWAR, M.D., INC.
Practice address
39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2119
Phone
(510) 438-9553
Fax
(510) 438-9262
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Sandeep M. Kunwar, M.D.
Title
President
Phone
(510) 438-9553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G81422 CA Primary

Addresses

Primary practice location

39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2119

Mailing address

39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2119
Phone (510) 438-9553

Other identifiers 2

IdentifierTypeStateIssuer
00G814220MedicaidCA
ZZZ67026ZOtherCABLUE SHIELD GRP #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1982719365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 FREMONT BLVD",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382119",
            "telephone_number": "510-438-9553",
            "fax_number": "510-438-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 FREMONT BLVD",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382119",
            "telephone_number": "510-438-9553",
            "fax_number": "510-438-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEEP M. KUNWAR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "KUNWAR",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-438-9553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G81422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G814220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GRP #",
            "identifier": "ZZZ67026Z",
            "state": "CA"
        }
    ],
    "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 Aug 23, 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.