Active NPI
Juan C Frisancho MD Inc
- Orthopaedic Surgery Physician
- Torrance, CA
National Provider Identifier
1205154010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A68291
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan Carlos Frisancho, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101011000055 | CA | Part B Supplier - Clinic/Group Practice | 4183816622 |
Receives reassigned benefits from 2 practitioners Practice locations: Torrance, CA |
National Provider Directory
National Provider DirectoryPractitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Torrance, CA
- NPI 1346297165
CA, Orthopaedic Surgery
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.