Mill Valley Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MILL VALLEY FAMILY PRACTICE

Practice address

61 Camino Alto
#107
Mill Valley, CA 94941-2934

Phone

(415) 388-0775

Fax

(415) 388-6542

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Gerald C. Freedman, M.D.

Title

Physician

Phone

(415) 388-0775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073502118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CAMINO ALTO",
            "address_2": "#107",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412934",
            "telephone_number": "415-388-0775",
            "fax_number": "415-388-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CAMINO ALTO",
            "address_2": "#107",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412934",
            "telephone_number": "415-388-0775",
            "fax_number": "415-388-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL VALLEY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "415-388-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine C. Meyer, M.D.
• Samuel Benjamin Meyers, DPM
• Cynthia Brooks Michalis, M.F.T.
• Mill Valley Dermatology, Inc
• Mill Valley Family Chiropractic
• Mill Valley Pediatric Associates
• Mill Valley Physical Therapy Partnership
• Mill Valley School District
• Zeljko Milovanovic, M.D.
• Natalie Alyssa Milton, DR

• Family Medicine Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.