Provider Demographics
NPI:1902996069
Name:HOPKINS, FREDERICK (MD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 STONE AVE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-1306
Mailing Address - Country:US
Mailing Address - Phone:408-995-0102
Mailing Address - Fax:408-995-0190
Practice Address - Street 1:2365 MONTPELIER DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1614
Practice Address - Country:US
Practice Address - Phone:408-272-9244
Practice Address - Fax:408-254-4596
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2004-0169207V00000X
CODR.0065091207V00000X
CAG84697207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G846970Medicaid
NM68177259Medicaid
CO9000211025Medicaid