Organization Active NPI

Freed Plastic Surgery, a Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Auburn, CA
National Provider Identifier
1306094552
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G072375 Issued in CA
Legal business name
FREED PLASTIC SURGERY, A MEDICAL CORPORATION
Practice address
3180 Bell Rd
Suite 200
Auburn, CA 95603-9200
Phone
(530) 885-4151
Fax
(530) 885-4131
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Dr. Jonathan R Freed, M.D.NPI 1932200292
Title
Surgeon/Owner
Phone
(530) 885-4151

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X G072375 CA Primary

Addresses

Primary practice location

3180 Bell Rd
Suite 200
Auburn, CA 95603-9200

Mailing address

3180 Bell Rd
Suite 200
Auburn, CA 95603-9200
Phone (530) 885-4151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090824000461 CA Part B Supplier - Clinic/Group Practice 2365596483 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, CA; Roseville, CA

National Provider Directory

National Provider Directory

Locations

3180 Bell Rd
Ste 200
Auburn, CA 95603
Phone (530) 885-4151

Practitioners & affiliated clinicians

Practitioners 2

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": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1306094552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 BELL RD",
            "address_2": "SUITE 200",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039200",
            "telephone_number": "530-885-4151",
            "fax_number": "530-885-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 BELL RD",
            "address_2": "SUITE 200",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039200",
            "telephone_number": "530-885-4151",
            "fax_number": "530-885-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREED PLASTIC SURGERY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "530-885-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G072375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.