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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARGOCHIS VEDAMUTHU
NPI 1417754433
Nurse Practitioner - Family in Fremont, CA

Active since February 26, 2025
4941 BUNKHOUSE STREET, FREMONT, CA 94555(661) 330-2772 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, May 5, 2026, Feb 26, 2025 (3 updates tracked since 2025).

About Margochis Vedamuthu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARGOCHIS VEDAMUTHU (NPI 1417754433) is an individual family provider in Fremont, California, licensed in California (95034607) and active in the NPI registry since February 2025. He maintains a secondary practice location in Roseville.

NPPES Registry Identity

NPI1417754433
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARGOCHIS VEDAMUTHU
Location Address4941 BUNKHOUSE STREETFremont, CA 94555
Mailing Address4941 Bunkhouse StFremont, CA 94555 · (661) 444-3991
Phone(661) 330-2772
Sole ProprietorNo
Enumeration DateFebruary 26, 2025
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1417754433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95034607
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 751125 (CA)
4941 BUNKHOUSE STREET, Fremont, CA 94555
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Secondary Practice Location 1

Location 15 Medical Plaza Dr Ste 190Roseville, CA 95661-2867 · Phone (916) 786-7498 · Fax (916) 482-3647

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 Margochis Vedamuthu's NPI number?

The NPI number for Margochis Vedamuthu is 1417754433. It was assigned to this individual provider in the NPPES registry on February 26, 2025.

Where is Margochis Vedamuthu located?

Margochis Vedamuthu practices at 4941 Bunkhouse Street, Fremont, CA 94555. The listed phone number is (661) 330-2772.

What is Margochis Vedamuthu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Margochis Vedamuthu was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.