Jeffrey I Friedman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC11306 Issued in CA

Practice address

711 D St
Suite 104
San Rafael, CA 94901-3703

Phone

(415) 459-4646

Fax

(415) 459-8003

NPI assigned

Apr 24, 2007

Last updated

May 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friedman Chiropractic Inc

  • Chiropractor
  • San Rafael, CA
  • NPI 1871712240
  Medicare reassignment NPD Authorized official
• Friedman Chiropractic Inc

  • Chiropractor
  • Petaluma, CA
  • NPI 1891961082
  NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209772800000",
    "number": "1083833420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 D ST",
            "address_2": "SUITE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013703",
            "telephone_number": "415-459-4646",
            "fax_number": "415-459-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 D ST",
            "address_2": "SUITE 104",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013703",
            "telephone_number": "415-459-4646",
            "fax_number": "415-459-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JEFFREY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11306",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "730",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR3740",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "DC0113061",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "DC0113060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Freund, DC
• Rebecca Frey
• Lauren Ione Friedeman, DPT
• Friedman Chiropractic Inc
• Cynthia Friedman
• Marta Judy Friedman, LCSW, JD
• Samantha Friedman
• Andrew Frierson
• Joellen Friesner
• Elana Frizzell

• Chiropractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; 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.