OrganizationActive
3prong
NPI 1942866462 · Psychiatry Physician · Fremont, CA
Provider details
- NPI number
- 1942866462
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deepak Kumar, Ceo(510) 952-1190
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
39159 Paseo Padre Pkwy Ste 121
Fremont, CA 94538-1600
Phone: (510) 952-1190
Fax: (510) 972-5976
Approximate (ZIP-level) locationGet directions
Mailing address
39159 Paseo Padre Pkwy Ste 121
Fremont, CA 94538-1600
Other names (DBA / former)
- Doing business as
- Wellity Health
Registry dates
- Enumerated
- 2019-05-10
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.