Organization Active NPI

SFM Medical Group Inc

  • Internal Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1336912161
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SFM MEDICAL GROUP INC
Practice address
12826 Victory Blvd Ste E
North Hollywood, CA 91606-3065
Phone
(820) 600-0006
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Steven Freedman, MDNPI 1366417503
Title
Ceo
Phone
(820) 600-0006

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

12826 Victory Blvd Ste E
North Hollywood, CA 91606-3065

Mailing address

12826 Victory Blvd Ste E
North Hollywood, CA 91606-3065
Phone (820) 600-0006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124004152 CA Part B Supplier - Clinic/Group Practice 7315390499 Receives reassigned benefits from 2 practitioners
Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Locations

12826 Victory Blvd
Ste E
North Hollywood, CA 91606
Phone (310) 207-9345

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1336912161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063065",
            "telephone_number": "820-600-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063065",
            "telephone_number": "820-600-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFM MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "820-600-0006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.