Active NPI
Freda A Garrett
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1023210457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 5840
- Practice address
- 5115 W Adams Blvd
Los Angeles, CA 90016-2727 - Phone
- (323) 933-4391
- Fax
- (323) 933-5973
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 5840 | CA | Primary |
Addresses
Primary practice location
5115 W Adams Blvd
Los Angeles, CA 90016-2727
Mailing address
17128 Colima Rd
Hacienda Heights, CA 91745-6769
Phone (213) 842-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5840 | Other | CA | CAS REGISTRATION |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team One Stop, Inc | 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.
-
- Voluntary or Charitable Agency
- Los Angeles, CA
- NPI 1023228962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023210457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17128 COLIMA RD",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917456769",
"telephone_number": "213-842-2300",
"fax_number": "323-933-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 W ADAMS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900162727",
"telephone_number": "323-933-4391",
"fax_number": "323-933-5973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "FREDA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "5840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAS REGISTRATION",
"identifier": "5840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, 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.