PALO ALTO MEDICAL FOUNDATION/FREMONT CENTER NPI 1316982994
Durable Medical Equipment & Medical Supplies in Fremont, CA
About PALO ALTO MEDICAL FOUNDATION/FREMONT CENTER
Palo Alto Medical Foundation/fremont Center is a provider established in Fremont, California specializing in durable medical equipment & medical supplies. The NPI number of Palo Alto Medical Foundation/fremont Center is 1316982994 and was assigned on June 2006. The practitioner's primary taxonomy code is 332B00000X with license number 0262640001 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Richard Slavin M.d. (Ceo)
The CLIA number of Palo Alto Medical Foundation/fremont Center is 05D0598778 registered as a "community clinic" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Palo Alto Medical Foundation/fremont Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
NPI | 1316982994 |
Provider Name | PALO ALTO MEDICAL FOUNDATION/FREMONT CENTER |
Provider Location Address | 3200 KEARNEY ST FREMONT, CA 94538 |
Provider Mailing Address | 2350 W EL CAMINO REAL 2ND FLOOR MOUNTAIN VIEW, CA 94040 |
NPI Entity Type | Organization |
Is Sole Proprietor? | N/A |
Is Organization Subpart? | Yes |
Enumeration Date | 06-18-2006 |
Last Update Date | 04-30-2012 |
Primary Taxonomy
Taxonomy Code | 332B00000X |
Classification | Durable Medical Equipment & Medical Supplies |
Type | Suppliers |
License No. | 0262640001 |
License State | CA |
Taxonomy Description | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
Business Address
PALO ALTO MEDICAL FOUNDATION/FREMONT CENTER
3200 KEARNEY ST
FREMONT, CA
ZIP 94538
Phone: (510) 490-1222
Mailing Address
PALO ALTO MEDICAL FOUNDATION/FREMONT CENTER
2350 W EL CAMINO REAL
2ND FLOOR
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 934-3529
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1316982994 is:
CLIA Number | 05D0598778 |
Facility Type | COMMUNITY CLINIC |
Certificate Type | Certificate of Compliance |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State |
---|---|---|
ZZZ95477Z | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1841286705 | KELLY RENEE MILLER MD Individual | Family Medicine | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1942249933 | MANISH SINGHAL MD Individual | Internal Medicine | 3200 KEARNEY ST FREMONT, CA 94538 (209) 603-8524 |
1053402727 | SUE KNOX MD Individual | Family Medicine | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1902997257 | MICHAEL SLESINSKI MD Individual | Obstetrics & Gynecology | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1902997265 | TIMOTHY SCOTT MD Individual | Ophthalmology | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1245322551 | DONNA MCMILLAN MD Individual | Pediatrics | 3200 KEARNEY ST FREMONT, CA 94538 (510) 498-2164 |
1033201256 | TINA FATIN SCOBEL Individual | Pediatrics | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1598857765 | RUPAL BADANI M.D. Individual | Pediatrics | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1619061033 | SUSAN PENG MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1922192103 | THUAN DUONG MD Individual | Family Medicine | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1346335072 | RITIKA KAUR AULAKH D.O Individual | Family Medicine | 3200 KEARNEY ST FREMONT, CA 94538 (510) 498-1222 |
1336238500 | MELISSA GIBSON RD Individual | Dietitian, Registered | 3200 KEARNEY ST FREMONT, CA 94538 (209) 603-8524 |
1265595003 | JOCELYN KREISS MD Individual | Psychiatry & Neurology (Psychiatry) | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1336293422 | DEBORAH JANE SPITZ PA Individual | Nurse Practitioner (Occupational Health) | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1164562112 | JULIETA GABIOLA MD Individual | Internal Medicine | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1588858823 | MARISSA LEE MFT Individual | Marriage & Family Therapist | 3200 KEARNEY ST FREMONT, CA 94538 (510) 498-2397 |
1588846380 | SAYALI RANADIVE MD Individual | Pediatrics | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1740467174 | JESSICA ALDAZ FNP Individual | Nurse Practitioner (Family) | 3200 KEARNEY ST URGENT CARE CENTER FREMONT, CA 94538 (510) 490-1222 |
1215103098 | MEESHA PURI NP Individual | Nurse Practitioner (Family) | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
1477801587 | JOELLE CHRISTIANNE WHALEN PA-C Individual | Physician Assistant | 3200 KEARNEY ST FREMONT, CA 94538 (510) 490-1222 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.