Active NPI
Alan John Fridlund, PHD
- Psychologist
- Oxnard, CA
National Provider Identifier
1225143993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY8446
- Practice address
- 500 E Esplanade Dr
Ste 320
Oxnard, CA 93036-0506 - Phone
- (805) 307-1535
- Fax
- (805) 307-1535
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8446 | CA | |
| Psychologist | 103T00000X | PSY8446 | CA | Primary |
Addresses
Primary practice location
500 E Esplanade Dr
Ste 320
Oxnard, CA 93036-0506
Mailing address
3032 N Ventura Rd
Oxnard, CA 93036-2272
Phone (805) 307-1535
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051219000994 | CA | Practitioner - Clinical Psychologist | 4789606732 | Practice locations: Oxnard, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 E Esplanade Dr
Suite 320
Oxnard, CA 93036-0506
Phone (805) 307-1535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8446 | CA | MD | Mental Health Counselor |
| PSY8446 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1225143993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3032 N VENTURA RD",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362272",
"telephone_number": "805-307-1535",
"fax_number": "805-307-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E ESPLANADE DR",
"address_2": "STE 320",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360506",
"telephone_number": "805-307-1535",
"fax_number": "805-307-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDLUND",
"first_name": "ALAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "8446",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY8446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.