NPIMap

Organization Active NPI

Amy B Friedman Chiropractic Corporation

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1043436355
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23449 Issued in CA
Legal business name
AMY B FRIEDMAN CHIROPRACTIC CORPORATION
Practice address
165 Yorba St
Tustin, CA 92780-2924
Phone
(714) 832-8747
Fax
(866) 572-2498
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amy Beth Friedman, D.C.NPI 1265497762
Title
Ceo
Phone
(714) 832-8747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 23449 CA Primary

Addresses

Primary practice location

165 Yorba St
Tustin, CA 92780-2924

Mailing address

165 Yorba St
Tustin, CA 92780-2924
Phone (714) 832-8747

Other names 1

  • Amy B Friedman Chiropractic Corp Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100813000263 CA Part B Supplier - Clinic/Group Practice 5597899450 Receives reassigned benefits from 1 practitioner
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

165 Yorba St
Tustin, CA 92780
Phone (714) 832-8747

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1043436355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 YORBA ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802924",
            "telephone_number": "714-832-8747",
            "fax_number": "866-572-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 YORBA ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802924",
            "telephone_number": "714-832-8747",
            "fax_number": "866-572-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY B FRIEDMAN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-832-8747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy B Friedman Chiropractic Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.