Active NPI
William Eugene Friedel, M.D.
- Urology Physician
- La Mesa, CA
National Provider Identifier
1023048501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G21974
- Practice address
- 8851 Center Dr
Suite 502
La Mesa, CA 91942-3017 - Phone
- (619) 828-1000
- Fax
- (619) 828-1001
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G21974 | CA | Primary |
Addresses
Primary practice location
8851 Center Dr
Suite 502
La Mesa, CA 91942-3017
Mailing address
8851 Center Dr.
Suite 502
La Mesa, CA 92584
Phone (619) 828-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0071060 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin D. Gaylis, M.D. Inc | Urology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- La Mesa, CA
- NPI 1902091085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023048501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 CENTER DR.",
"address_2": "SUITE 502",
"city": "LA MESA",
"state": "CA",
"postal_code": "92584",
"telephone_number": "619-828-1000",
"fax_number": "619-828-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8851 CENTER DR",
"address_2": "SUITE 502",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423017",
"telephone_number": "619-828-1000",
"fax_number": "619-828-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDEL",
"first_name": "WILLIAM",
"middle_name": "EUGENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G21974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0071060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.