Organization Active NPI

Serena M. Friedman M.D., a Medical Corporation

  • Internal Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1356520266
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G32511 Issued in CA
Legal business name
SERENA M. FRIEDMAN M.D., A MEDICAL CORPORATION
Practice address
2876 Sycamore Dr
Suite 304
Simi Valley, CA 93065-1530
Phone
(805) 526-9242
Fax
(805) 526-3768
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Serena M. Friedman, M.D.
Title
Medical Doctor
Phone
(805) 526-9242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G32511 CA Primary

Addresses

Primary practice location

2876 Sycamore Dr
Suite 304
Simi Valley, CA 93065-1530

Mailing address

2876 Sycamore Drive
Suite 304
Simi Valley, CA 93065
Phone (805) 526-9242

National Provider Directory

National Provider Directory

Locations

2876 Sycamore Dr
Ste 304
Simi Valley, CA 93065
Phone (805) 210-5787

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1356520266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 SYCAMORE DRIVE",
            "address_2": "SUITE 304",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-526-9242",
            "fax_number": "805-526-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2876 SYCAMORE DR",
            "address_2": "SUITE 304",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651530",
            "telephone_number": "805-526-9242",
            "fax_number": "805-526-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA M. FRIEDMAN M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "805-526-9242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.