Organization Active NPI

Roger a. Freeman, M.D, Inc.

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1154336576
Registry record updated Feb 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G29093 Issued in CA
Legal business name
ROGER A. FREEMAN, M.D, INC.
Practice address
7485 Mission Valley Rd
Suite 103
San Diego, CA 92108-4422
Phone
(619) 819-7100
Fax
(619) 819-7101
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2009

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

Authorized official

Name
Roger A. Freeman, M.D.NPI 1417964867
Title
President
Phone
(619) 819-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G29093 CA Primary

Addresses

Primary practice location

7485 Mission Valley Rd
Suite 103
San Diego, CA 92108-4422

Mailing address

7485 Mission Valley Rd
Suite 103
San Diego, CA 92108-4422
Phone (619) 819-7100

Other identifiers 2

IdentifierTypeStateIssuer
00G290930OtherCABLUE SHIELD
00G290931MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233446400000",
    "number": "1154336576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 MISSION VALLEY RD",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084422",
            "telephone_number": "619-819-7100",
            "fax_number": "619-819-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 MISSION VALLEY RD",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084422",
            "telephone_number": "619-819-7100",
            "fax_number": "619-819-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A. FREEMAN, M.D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-02-01",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-819-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G29093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G290930",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G290931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; 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.