FREMONT PAIN TREAMTMENT CENTER
NPI 1083950380
Specialist in Fremont, CA

Active since December 14, 2012CLIA 05D1097382 · Waiver
656 MOWRY AVE, FREMONT, CA 94536(510) 818-9237(510) 818-9222 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1083950380
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFREMONT PAIN TREAMTMENT CENTER
Location Address656 MOWRY AVEFremont, CA 94536-4113
Mailing Address656 Mowry AveFremont, CA 94536-4113 · (510) 818-9237 · Fax (510) 818-9222
Fax(510) 818-9222
Organization SubpartNo
Authorized OfficialTulsidas GwalaniOwner · (510) 818-9237
Enumeration DateDecember 14, 2012
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1083950380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A76626
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
656 MOWRY AVE, Fremont, CA 94536

Other Identifiers 1

Other00A766261CA · Pten

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, CA
Active · expires Mar 24, 2027
CLIA Number05D1097382
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorTulsidas R. Gwalani, MD
Laboratory Phone(510) 818-9237
Laboratory LocationFremont Pain Treatment Center656 Mowry Ave, Fremont, CA 94536
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
656 MOWRY AVE
FREMONT, CA 94536
Nurse Practitioner
656 MOWRY AVE
FREMONT, CA 94536

Frequently 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.

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 16 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.