Jon Robert Friedman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G61487 Issued in CA

Practice address

1530 Voorhees Ave
Manhattan Beach, CA 90266-7042

Phone

(310) 376-1217

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1083116883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 VOORHEES AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667042",
            "telephone_number": "310-376-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 VOORHEES AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667042",
            "telephone_number": "310-376-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G61487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Fox, R.P.T.
• Mariam Francis
• Leilani Elizabeth Francisco-Delay, ASW
• Alicia Lisa Francois, PSYD
• Carol Frey, M.D.
• Mickey Y Fukunaga, PHARMD
• Robyn Wing-Bik Fung, DMD
• John Walter Funnell, O.D.
• G and a McIver PC
• Sophia Galano, LCSW

• Internal Medicine Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.