Fremont Medical Group, Inc.

LBN: Fremont Medical Group, Inc.
Fremont Medical Group, Inc. is an health care organization with primary practice located at 734 Mowry Ave , Fremont CA 94536-4115. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Fremont Medical Group, Inc. can be contacted via phone (510) 793-3033, or through Shikano, Janis via phone (510) 793-3033.

Contact Information

Primary practice address
734 Mowry Ave Fremont CA 94536-4115
Phone: (510) 793-3033
Fax: (510) 793-4952
Website:
Map and Directions
Authorized official contact:
Name: Shikano, Janis
Phone: (510) 793-3033

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G4628 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G6855 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A44320 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G66303 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A53697 California

Profile Details

NPI number 1528009396
LBN Legal business name Fremont Medical Group, Inc.
DBA Doing business as
Authorized official Shikano, Janis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528009396 NPPES
California MEDICAID GR0077610
California Other ZZZ46056Z

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