Civic Medical Center, Inc.
NPI 1629482757ActiveOrganization· Internal Medicine· Fremont, CA
Internal Medicine in Fremont, California, registered in NPPES in June 2014. The authorized official on file is Namrata Mehta, CPC, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629482757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2014 |
| Last updated in NPPES | Sep 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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