Denise Ann William Freese, MD
Individual provider Active NPI Family Medicine Physician · Los Angeles, CA
NPI 1194750844 · NPPES record last updated Aug 19, 2008
Key facts
- NPI
- 1194750844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G77966 (CA)
- Practice address
- 200 Medical Plaza
#214,365,530,420,120
Los Angeles, CA 90095-3075 - Phone
- (310) 825-0631
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Geffen School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Regents of the University of California
Practice addresses (Care Compare)
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
2428 Santa Monica Blvd
Santa Monica, CA 90404-2046
Hospital & facility affiliations
- Accentcare UCLA Health, LLC
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
- Saint John'S Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090407000258 | CA | Practitioner - Family Practice | 6204983315 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77966 | CA | MD | Social Worker |
| G77966 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current |
Accepting new patients | |
| The Regents of the University of California | Family Medicine | Current |
Accepting new patients |
| Providence Saint John'S Health Center | Past | Accepting new patients | |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
| The Regents of the University of California | Past | Accepting new patients |
Locations
200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
2428 Santa Monica Blvd
Ste 200
Santa Monica, CA 90404
Phone (310) 998-5868
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
Interoperability endpoints
- dfreese59948@direct.uclahealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G77966 | CA | Yes |
Addresses
Primary practice location
200 Medical Plaza
#214,365,530,420,120
Los Angeles, CA 90095-3075
Mailing address
5767 W Century Blvd
Suite 200
Los Angeles, CA 90045-5632
Phone (310) 301-8708
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G779660 | Medicaid | CA |
Other providers in Los Angeles, CA
- Tawney Freeman
- Tiffany R Freeman
- Valerie D Freeman
- Virginia Therese Rich Freeman
- Bridgett Freeny
- Nitza Elke Fregosi
- Hugo Fregoso
- Janette Fregoso
- Jose Fregoso
- Maria Fregoso
All providers in Los Angeles, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.