Individual provider Active NPI

Roger Philip Friedenthal, M.D.

  • Plastic Surgery Physician
  • Santa Rosa, CA
National Provider Identifier
1164521605
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G9257 Issued in CA
Practice address
3562 Round Barn Cir Ste 320
Santa Rosa, CA 95403-0182
Phone
(707) 578-1900
Fax
(707) 578-1111
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G9257 CA Primary

Addresses

Primary practice location

3562 Round Barn Cir Ste 320
Santa Rosa, CA 95403-0182

Mailing address

3562 Round Barn Cir Ste 320
Santa Rosa, CA 95403-0182
Phone (707) 578-1900

Other practice location 1

3838 California St Rm 610
San Francisco, CA 94118-1508
Phone (415) 387-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000765 CA Practitioner - Plastic and Reconstructive Surgery 0042241713 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Yale University School of Medicine, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyperbaric Consultants Medical Group IncGroup PAC ID 0547490864, 5 clinicians
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

2107 Ofarrell St
San Francisco, CA 94115-3419
Phone (415) 345-1246

3838 California St
RM 610
San Francisco, CA 94118-1508
Phone (415) 387-8007

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue34
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G9257CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
Paradigm Surgical Specialist PC Plastic Surgery CurrentSince Mar 19, 2018 Accepting new patients
University of California San Francisco CurrentSince Mar 13, 2017 Accepting new patients
UCSF Dept of Surgery CurrentSince Mar 13, 2017 Accepting new patients
Regents of the University of California CurrentSince Mar 13, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 13, 2017 Accepting new patients
Hyperbaric Consultants Medical Group Inc CurrentSince Feb 3, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 13, 2017 Accepting new patients
University of California San Francisco CurrentSince Mar 13, 2017 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1 Daniel Burnham Ct
Ste 265C
San Francisco, CA 94109
Phone (415) 752-2066

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

2107 Ofarrell St
San Francisco, CA 94115
Phone (415) 345-1246

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3838 California St
Rm 610
San Francisco, CA 94118
Phone (415) 387-8007

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

2100 Webster St
Ste 318
San Francisco, CA 94115
Phone (415) 923-3008

1050 Northgate Dr
Ste 510
San Rafael, CA 94903
Phone (415) 250-9251

3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900

1341 Canton Rd
Ste A
Marietta, GA 30066

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rfriedenthal@csinorthca.emadirect.md
  • Direct secure messaging: rfriedenthal183668@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1164521605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 ROUND BARN CIR STE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030182",
            "telephone_number": "707-578-1900",
            "fax_number": "707-578-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 ROUND BARN CIR STE 320",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030182",
            "telephone_number": "707-578-1900",
            "fax_number": "707-578-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 California St Rm 610",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181508",
            "country_code": "US",
            "telephone_number": "415-387-8007",
            "fax_number": "415-387-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDENTHAL",
        "first_name": "ROGER",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G9257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.