FREDERICK S WILSON DPM INC (NPI# 1831274976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831274976 |
| Entity Type | Organization |
| Organization Name | FREDERICK S WILSON DPM INC |
| Practice Address |
1895 Mowry Ave Ste. 103 Fremont CA 94538-1737 |
| Practice Telephone | 5107962191 |
| Practice Fax Number | 5107962250 |
| Mailing Telephone | 5107962191 |
| Mailing Fax Number | 5107962250 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | DR. FREDRICK SAUL WILSON (PODIATRIST) |
| Authorized Official Telephone | 5107962191 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E2105 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1895 MOWRY AVE STE. 103 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997646 | Fang Tan | Ophthalmology | 1895 Mowry Ave, Suite 101, Fremont, CA 94538-1737 | 2005-07-22 |
| 1376096578 | Dipali Patel | Physical Therapist | 1895 Mowry Ave, Suite 115, Fremont, CA 94538-1737 | 2016-07-25 |
| 1225403199 | Ankita Agarwal | Dentist | 1895 Mowry Ave, Suite 103, Fremont, CA 94538-1737 | 2015-12-03 |
| 1952701690 | Darshana Patel | Physical Therapist | 1895 Mowry Ave, Suite #118a, Fremont, CA 94538-1737 | 2014-08-31 |
| 1538413182 | Kinjal Solani | Physical Therapist | 1895 Mowry Ave, Suite #118a, Fremont, CA 94538-1737 | 2012-11-05 |
| 1720335698 | Jonathan Duk Gen Chang | Dentist | 1895 Mowry Ave, Ste 121, Fremont, CA 94538-1737 | 2012-08-10 |
| 1003194234 | Jamie Wong | Optometrist | 1895 Mowry Ave, Ste 117, Fremont, CA 94538-1736 | 2011-07-21 |
| 1013214162 | Shweta Prakash Sadalge | Physical Therapist | 1895 Mowry Ave, Suite #118a, Fremont, CA 94538-1737 | 2011-02-24 |
| 1528363447 | Yvonne Yiwen Chen Dmd Apc | Dentist | 1895 Mowry Ave, Suite #102, Fremont, CA 94538-1737 | 2011-01-25 |
| 1922324839 | In Focus Physical Therapy Inc | Physical Therapist | 1895 Mowry Ave, Suite #118a, Fremont, CA 94538-1737 | 2010-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508314808 | Jonathan Abraham | Podiatrist | 4065 Caribbean Cmn, Fremont, CA 94555-3132 | 2016-09-14 |
| 1457703027 | Kalgi Hasmukh Parmar | Podiatrist | 2333 Mowry Avenue, Suite 300, Fremont, CA 94538 | 2016-07-07 |
| 1881900504 | Jameela Raashida Fulton | Podiatrist | 43049 Grimmer Ter, Fremont, CA 94538-5973 | 2010-08-19 |
| 1942663901 | Anthony Rusher | Podiatrist | 1900 Hayes Ave, Fremont, OH 43420-2755 | 2016-03-29 |
| 1124316005 | Mark Co | Podiatrist | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2011-07-13 |
| 1417261868 | Jason Dwayne Neufeld | Podiatrist | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2010-07-27 |
| 1124283049 | Jessica W Clarke | Podiatrist | 1900 Hayes Ave, Fremont, OH 43420-2755 | 2008-07-21 |
| 1184773764 | Vineet S Kamboj | Podiatrist | 3200 Kearney Street, Fremont, CA 94538-2299 | 2007-01-10 |
| 1457423469 | Warren Marion Johnson | Podiatrist | 3775 Beacon Ave, Ste 120, Fremont, CA 94538-1466 | 2006-11-14 |
| 1841384039 | John J. Clarke, D.p.m. | Podiatrist | 1900 Hayes Ave, Fremont, OH 43420-2755 | 2006-10-03 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.