Active NPI
Brian Friedel
- Assisted Living Facility
- Brentwood, CA
National Provider Identifier
1366288789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 079201067
- Practice address
- 2410 Smith Rd
Brentwood, CA 94513-5421 - Phone
- (925) 876-6746
- NPI assigned
- Jul 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 079201067 | CA | Primary |
Addresses
Primary practice location
2410 Smith Rd
Brentwood, CA 94513-5421
Mailing address
2410 Smith Rd
Brentwood, CA 94513-5421
Phone (925) 876-6746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079201067 | CA | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B3F Ventures LLC | Assisted Living Facility | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1366288789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 SMITH RD",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945135421",
"telephone_number": "925-876-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 SMITH RD",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945135421",
"telephone_number": "925-876-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDEL",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-04",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "079201067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
- John Freemer III
- Destiny Freitas
- Robert Joseph Freitas II, D.D.S.
- Jillian French, DPT
- Fresenius Medical Care Diablo Nephrology Clinics, LLC (Fresenius Medical Care - Diablo Brentwood)
- Abigail Elizabeth Fripp
- Ezekiel Fuller
- Futures Redefined Family Counseling PC
- Amanda Gaffagan
- Hazel Marie Cerio Gagui, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.