MEDICARE: DR. FREDERICK HOPKINS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD2004-0169	NM
2	207V00000X	Obstetrics & Gynecology Physician	DR.0065091	CO
3	207V00000X	Obstetrics & Gynecology Physician	G84697	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902996069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK HOPKINS M.D.

Provider Business Mailing Address
First Line	:	1834 STONE AVE
Second Line	:	SUITE 2B
City	:	SAN JOSE
State	:	CA
Zip	:	95125-1306
Country	:	US
Telephone Number	:	408-995-0102
Fax Number	:	408-995-0190

Provider Business Practice Location Address
First Line	:	2365 MONTPELIER DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1614
Country	:	US
Telephone Number	:	408-272-9244
Fax Number	:	408-254-4596

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	03/13/2023

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Directions to “ DR. FREDERICK HOPKINS M.D.” Practice Location

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