Individual provider Active NPI

Jerome R Friedland, M.D.

  • Orthopaedic Surgery Physician
  • Reseda, CA
National Provider Identifier
1336191949
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A30198 Issued in CA
Practice address
18039 Sherman Way
Reseda, CA 91335-4630
Phone
(818) 708-8100
Fax
(818) 705-8818
NPI assigned
May 16, 2006
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A30198 CA Primary

Addresses

Primary practice location

18039 Sherman Way
Reseda, CA 91335-4630

Mailing address

2702 Ladbrook Way
Thousand Oaks, CA 91361-5350
Phone (805) 495-0747

Other identifiers 1

IdentifierTypeStateIssuer
00A301980MedicaidCA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100426000336 CA Practitioner - Orthopedic Surgery 9436162849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Medical Center 2Group PAC ID 8921139353, 3 clinicians

Practice addresses (Care Compare)

1240 S Westlake Blvd
Suite 237
Westlake Village, CA 91361-6203
Phone (805) 373-3700

18039 Sherman Way
Reseda, CA 91335-4630
Phone (818) 708-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Medical Center2 Orthopaedic Surgery CurrentSince Jun 1, 2010 Accepting new patients
Orthopedic Medical Center, an Inc Medical Clinic Orthopaedic Surgery PastSince Jan 1, 1973 Accepting new patients

Locations

18039 Sherman Way
Reseda, CA 91335
Phone (818) 708-8100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jerome.friedland@1432.securemail.prognocis.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1336191949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 LADBROOK WAY",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615350",
            "telephone_number": "805-495-0747",
            "fax_number": "805-495-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18039 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354630",
            "telephone_number": "818-708-8100",
            "fax_number": "818-705-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLAND",
        "first_name": "JEROME",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A30198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A301980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.