FREMONT PAIN TREAMTMENT CENTER
NPI 1083950380
Specialist in Fremont, CA
About Fremont Pain Treamtment Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREMONT PAIN TREAMTMENT CENTER (NPI 1083950380) is a healthcare organization registered as a specialist in Fremont, California and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Tulsidas Gwalani, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fremont Pain Treamtment Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Fremont Pain Treamtment Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1097382
Fremont Pain Treatment Center · Fremont, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fremont Pain Treamtment Center's NPI number?
The NPI number for Fremont Pain Treamtment Center is 1083950380. It was assigned to this organization in the NPPES registry on December 14, 2012.
Where is Fremont Pain Treamtment Center located?
Fremont Pain Treamtment Center is located at 656 Mowry Ave, Fremont, CA 94536. The listed phone number is (510) 818-9237.
What is Fremont Pain Treamtment Center's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Fremont Pain Treamtment Center enrolled in Medicare?
Yes. Fremont Pain Treamtment Center is registered in the Medicare PECOS enrollment system.
When is Fremont Pain Treamtment Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fremont Pain Treamtment Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians reassign their Medicare billing to Fremont Pain Treamtment Center, in Internal Medicine, Interventional Radiology, Nurse Practitioner, Orthopedic Surgery, Pain Management and 1 other specialty. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fremont Pain Treamtment Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1097382) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fremont Pain Treamtment Center was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fremont Pain Treamtment Center · NPI 1083950380
Specialist organization in Fremont, California. Organization record, active in the CMS NPPES registry since December 14, 2012.
## Identity
- **NPI:** 1083950380 (Entity type: Organization)
- **Enumerated:** December 14, 2012
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Tulsidas Gwalani, OWNER
## Practice location
- **Address:** 656 MOWRY AVE, Fremont, CA 94536-4113
- **Phone:** (510) 818-9237 · **Fax:** (510) 818-9222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Pain Management (2), Internal Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2025
- **Other identifiers:** Other 00A766261 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083950380) · Data from the CMS NPPES public registry.