3Prong

Psychiatry · Fremont, CA

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At a glance

39159 Paseo Padre Pkwy Ste 121, Fremont, CA 94538-1600

NPPES record updated Mar 27, 2026. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

39159 Paseo Padre Pkwy Ste 121
Fremont, CA 94538-1600
Professional details: NPI, taxonomy & registry record
NPI1942866462
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Registry details

Primary taxonomy
Psychiatry
Taxonomy code
2084P0800X
Enumeration date
May 10, 2019
Record updated
Mar 27, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Psychiatry

2084P0800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

39159 Paseo Padre Pkwy Ste 121
Fremont, CA 94538-1600
Phone
(510) 952-1190
Fax
(510) 972-5976
Mailing address
39159 PASEO PADRE PKWY STE 121

FREMONT, CA 945381600
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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