Active NPI
Roger D. Friedman, MD.,Inc.
- Specialist
- Encino, CA
National Provider Identifier
1295920445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31865
- Legal business name
- ROGER D. FRIEDMAN, MD.,INC.
- Practice address
- 5400 Balboa Blvd
Suite 131
Encino, CA 91316-1502 - Phone
- (818) 783-9700
- NPI assigned
- Sep 11, 2007
- 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
- Mr. Roger Dale Friedman
- Title
- President
- Phone
- (818) 783-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31865 | CA | Primary |
Addresses
Primary practice location
5400 Balboa Blvd
Suite 131
Encino, CA 91316-1502
Mailing address
5400 Balboa Blvd
Suite 131
Encino, CA 91316-1502
Phone (818) 783-9700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C318650 | Medicaid | CA | |
| W2889 | Other | CA | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321920000000",
"number": "1295920445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 BALBOA BLVD",
"address_2": "SUITE 131",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161502",
"telephone_number": "818-783-9700",
"fax_number": "818-784-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BALBOA BLVD",
"address_2": "SUITE 131",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161502",
"telephone_number": "818-783-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER D. FRIEDMAN, MD.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2011-11-22",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-783-9700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "31865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C318650",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "W2889",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.