| Fremont Nephrology | |
|
39233 Liberty St Fremont CA 94538-1501 | |
| (510) 795-8186 | |
| (510) 792-8186 |
| Full Name | Fremont Nephrology |
|---|---|
| Speciality | Internal Medicine |
| Location | 39233 Liberty St, Fremont, California |
| Authorized Official Name and Position | David T Tay (CEO) |
| Authorized Official Contact | 5105018681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Nephrology 39270 Paseo Padre Pkwy Suite 518 Fremont CA 94538-1616 Ph: (510) 795-8186 | Fremont Nephrology 39233 Liberty St Fremont CA 94538-1501 Ph: (510) 795-8186 |
| NPI Number | 1326292012 |
|---|---|
| Provider Enumeration Date | 11/09/2008 |
| Last Update Date | 05/18/2012 |
| Medicare PECOS PAC ID | 6204999113 |
|---|---|
| Medicare Enrollment ID | O20090120000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326292012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G63140 (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | G63140 (California) | Primary |
| Provider Name | Shalini Sundar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780607838 PECOS PAC ID: 5395749725 Enrollment ID: I20060826000107 |
| Provider Name | David T Tay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962440263 PECOS PAC ID: 9830277789 Enrollment ID: I20080417000711 |
Deepti Saxena Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43628 Skye Rd, Fremont, CA 94539 Phone: 510-229-9738 | |
Center Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1999 Mowry Ave, Suite N, Fremont, CA 94538 Phone: 510-793-2645 Fax: 510-791-6846 | |
California Cardiovascular Consultant Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Mowry Ave Ste 309, Fremont, CA 94538 Phone: 510-796-0222 Fax: 510-796-7760 | |
Eugene Dicero Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38069 Martha Ave, 300, Fremont, CA 94536 Phone: 510-792-9345 Fax: 510-792-8621 | |
As Soon As Possible Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37471 Fremont Blvd, Fremont, CA 94536 Phone: 510-742-5900 Fax: 510-742-5910 | |
Synergy Medical Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37317 Fremont Blvd, Fremont, CA 94536 Phone: 510-896-8699 Fax: 510-896-8445 | |
Access Omnicare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39180 Farwell Dr Ste 231, Fremont, CA 94538 Phone: 510-585-2545 |