Individual provider Active NPI

Alejandro Joseph Freire, C.P.,B.O.C.O

  • Prosthetist
  • Whittier, CA
National Provider Identifier
1295766020
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
95-3369810 Issued in CA
Practice address
7633 Greenleaf Ave
Whittier, CA 90602-1626
Phone
(562) 698-0988
Fax
(562) 696-8791
NPI assigned
Jul 6, 2006
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 95-3369810 CA
Orthotist 222Z00000X DC
Prosthetist 224P00000X 95-3369810 CA Primary
Prosthetist 224P00000X DC

Addresses

Primary practice location

7633 Greenleaf Ave
Whittier, CA 90602-1626

Mailing address

7633 Greenleaf Ave
Whittier, CA 90602-1626
Phone (562) 698-0988

Other identifiers 2

IdentifierTypeStateIssuer
4767OtherCAVENDOR FOR CCS
GFC00150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kolman Prosthetics Orthotics,Inc. Orthotist Current Accepting new patients

Locations

7633 Greenleaf Ave
Whittier, CA 90602
Phone (562) 698-0988

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1295766020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021626",
            "telephone_number": "562-698-0988",
            "fax_number": "562-696-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021626",
            "telephone_number": "562-698-0988",
            "fax_number": "562-696-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIRE",
        "first_name": "ALEJANDRO",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "C.P.,B.O.C.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "95-3369810",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "95-3369810",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "DC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR FOR CCS",
            "identifier": "4767",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFC00150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.