Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jan Von Dickey, MD

Individual provider Family Medicine Physician · NPI 1134153752

Jan Von Dickey, MD is an Internal Medicine in Fremont, California. Graduated from Meharry Medical College School of Medicine in 1981, 45 years ago. Licensed in California.

Years since qualifying
45
Trained at
Meharry Medical College School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

39500 Liberty St
Fremont, CA 94538
Phone: (510) 252-5887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G49405 (CA)

Record details

NPI number1134153752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3917 Ruby St, Oakland, CA 94609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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