FREMONT DERMATOLOGY MEDICAL OFFICE
NPI 1841487337
Specialist in Fremont, CA

Q: What is Fremont Dermatology Medical Office's NPI number?

The NPI number for Fremont Dermatology Medical Office is 1841487337. It was assigned to this organization in the NPPES registry on September 27, 2007.

Q: What is Fremont Dermatology Medical Office's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 27, 2007

39210 STATE ST STE 218, FREMONT, CA 94538(510) 790-0477 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fremont Dermatology Medical Office NPPES

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

FREMONT DERMATOLOGY MEDICAL OFFICE (NPI 1841487337) is a healthcare organization registered as a specialist in Fremont, California and active in the NPI registry since September 2007. The organization lists David C Gorsulowsky, Physician, as its authorized official.

NPPES Registry Identity

NPI1841487337

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameFREMONT DERMATOLOGY MEDICAL OFFICE

Location Address39210 STATE ST STE 218Fremont, CA 94538-1456

Mailing Address39210 State St Ste 218Fremont, CA 94538-1456 · (510) 790-0477

Phone(510) 790-0477

Organization SubpartNo

Authorized OfficialDavid C GorsulowskyPhysician · (510) 790-0477

Enumeration DateSeptember 27, 2007

Last NPPES UpdateSeptember 26, 2008

✔ NPI 1841487337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · C042190

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.

39210 STATE ST STE 218, Fremont, CA 94538

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Other Identifiers 3

Medicare PINZZZ43507ZCA

OtherA37754CA · Upin

Other070008967CA · Railroad Medicare Id

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

Other Providers at the Same Location NPPES

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

KAREN Y CHEN PA

Physician Assistant

39210 STATE ST STE 218
FREMONT, CA 94538

Alameda County (510) 790-0477

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 Dermatology Medical Office's NPI number?

The NPI number for Fremont Dermatology Medical Office is 1841487337. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Fremont Dermatology Medical Office located?

Fremont Dermatology Medical Office is located at 39210 State St Ste 218, Fremont, CA 94538. The listed phone number is (510) 790-0477.

What is Fremont Dermatology Medical Office's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fremont Dermatology Medical Office was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.