Organization Active NPI

Menlo Park Ophthalmology Medical Group

  • Ophthalmology Physician
  • Menlo Park, CA
National Provider Identifier
1295524536
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MENLO PARK OPHTHALMOLOGY MEDICAL GROUP
Practice address
1225 Crane St Ste 200
Menlo Park, CA 94025-4253
Phone
(650) 451-8914
NPI assigned
May 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Neil J Friedman, MD
Title
President
Phone
(650) 451-8914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1225 Crane St Ste 200
Menlo Park, CA 94025-4253

Mailing address

1225 Crane St Ste 200
Menlo Park, CA 94025-4253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603000355 CA Part B Supplier - Clinic/Group Practice 7315456225 Receives reassigned benefits from 1 practitioner
Practice locations: Menlo Park, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1295524536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST STE 200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST STE 200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254253",
            "telephone_number": "650-451-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENLO PARK OPHTHALMOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-451-8914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.