Active NPI
Samantha Friend, M.D.
- General Practice Physician
- La Jolla, CA
National Provider Identifier
1053707422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A147892
- Practice address
- 9500 Gilman Dr
9116A
La Jolla, CA 92093 - Phone
- (858) 534-4040
- Fax
- (858) 822-0231
- NPI assigned
- Apr 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | A147892 | CA | Primary |
Addresses
Primary practice location
9500 Gilman Dr
9116A
La Jolla, CA 92093
Mailing address
9500 Gilman Dr
9116A
La Jolla, CA 92093-9116
Phone (858) 534-4040
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A147892 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC San Diego Health | Past | Accepting new patients | |
| Ucsd | Student in an Organized Health Care Education/Training Program | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1750739116
-
- Student in an Organized Health Care Education/Training Program
- La Jolla, CA
- NPI 1730611864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1053707422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"address_2": "9116A",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920939116",
"telephone_number": "858-534-4040",
"fax_number": "858-822-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"address_2": "9116A",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92093",
"telephone_number": "858-534-4040",
"fax_number": "858-822-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-12",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A147892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.