Active NPI
Andrea Friese, D.C.
- Chiropractor
- Los Gatos, CA
National Provider Identifier
1124152830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29481
- Practice address
- 236 Oak Meadow Drive
Suite 1
Los Gatos, CA 95032-5406 - Phone
- (408) 356-9125
- Fax
- (408) 356-9149
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29481 | CA | Primary |
Addresses
Primary practice location
236 Oak Meadow Drive
Suite 1
Los Gatos, CA 95032-5406
Mailing address
236 Oak Meadow Dr
Suite 1
Los Gatos, CA 95032-4452
Phone (408) 356-9125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000809 | CA | Practitioner - Chiropractic | 8224082722 | Practice locations: Los Gatos, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
236 Oak Meadow Dr
Los Gatos, CA 95032-4452
Phone (408) 356-9125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29481 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1124152830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 OAK MEADOW DR",
"address_2": "SUITE 1",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950324452",
"telephone_number": "408-356-9125",
"fax_number": "408-356-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 OAK MEADOW DRIVE",
"address_2": "SUITE 1",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950325406",
"telephone_number": "408-356-9125",
"fax_number": "408-356-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESE",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.