Organization Active NPI

Juan C Frisancho MD Inc

  • Orthopaedic Surgery Physician
  • Torrance, CA
National Provider Identifier
1205154010
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A68291 Issued in CA
Legal business name
JUAN C FRISANCHO MD INC
Practice address
23600 Telo Ave Ste 180
Torrance, CA 90505-4039
Phone
(310) 257-1500
Fax
(310) 257-1508
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Juan Carlos Frisancho, MDNPI 1346297165
Title
President and Owner
Phone
(310) 257-1500

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 A68291 CA Primary

Addresses

Primary practice location

23600 Telo Ave Ste 180
Torrance, CA 90505-4039

Mailing address

23600 Telo Ave Ste 180
Torrance, CA 90505-4039
Phone (310) 257-1500

Other practice location 1

1360 W 6th St
North Building, Suite 305
San Pedro, CA 90732-3514
Phone (310) 833-2406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000055 CA Part B Supplier - Clinic/Group Practice 4183816622 Receives reassigned benefits from 2 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Practitioners 2

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": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1205154010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 180",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054039",
            "telephone_number": "310-257-1500",
            "fax_number": "310-257-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 180",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054039",
            "telephone_number": "310-257-1500",
            "fax_number": "310-257-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 W 6th St",
            "address_2": "North Building, Suite 305",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323514",
            "country_code": "US",
            "telephone_number": "310-833-2406",
            "fax_number": "310-519-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUAN C FRISANCHO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "FRISANCHO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "310-257-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A68291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.