FORD BREWER MD, INC (NPI# 1639599160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639599160 |
| Entity Type | Organization |
| Organization Name | FORD BREWER MD, INC |
| Other Organization Name | TESLA FREMONT MEDICAL CLINIC |
| Practice Address |
45500 Fremont Blvd Fremont CA 94538-6326 |
| Mailing Address |
5500 Maryland Way Ste 200 Brentwood TN 37027-4973 |
| Practice Telephone | 5102493694 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | STUART CLARK (EXECUTIVE VP) |
| Authorized Official Telephone | 6155774927 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS HEALTH SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tesla Fremont Medical Clinic | Doing Business As Name - Organization |
| Street Address |
45500 FREMONT BLVD |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-6326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790887347 | Andrew James Wetzel | Specialist/Technologist | 45500 Fremont Blvd, Fremont, CA 94538-6326 | 2006-09-03 |
| 1932370152 | Jennifer Lynn Rieger | Specialist/Technologist | 45500 Fremont Blvd, Work-fit @ Nummi, Fremont, CA 94538-6326 | 2008-03-14 |
| 1689770596 | Christine T. Eleria | Contractor | 45500 Fremont Blvd, Fremont, CA 94538-6368 | 2006-09-16 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073712162 | Advanced Multi Specialty Medical Group | General Practice | 37471 Fremont Blvd, Fremont, CA 94536-3704 | 2007-07-17 |
| 1831317346 | Jacob Anthony Wiesen | General Practice | 2540 N Healthy Way, Fremont, NE 68025-2315 | 2007-04-22 |
| 1235318288 | Dr Daniel Kelderhouse Inc | General Practice | 201 S Park Ave, Fremont, OH 43420-2953 | 2007-10-26 |
| 1215137567 | Rickey Wright Md LLC | General Practice | 1823 W State St, Fremont, OH 43420-1635 | 2007-07-24 |
| 1497883599 | Yu-hong Law | General Practice | 2147 Mowry Ave, Ste D3, Fremont, CA 94538-1724 | 2007-03-01 |
| 1629090956 | Rickey Wright | General Practice | 1823 W State St, Fremont, OH 43420-1635 | 2006-07-24 |
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| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
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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.