Individual provider Active NPI

Michael Phillip Friedlander, M.D.

  • Internal Medicine Physician
  • Los Banos, CA
National Provider Identifier
1376550913
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301071446 Issued in MI
Practice address
520 W I St
Los Banos, CA 93635-3419
Phone
(209) 826-0591
NPI assigned
Aug 2, 2006
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301071446 MI Primary
Hospitalist Physician 208M00000X 4301071446 MI

Addresses

Primary practice location

520 W I St
Los Banos, CA 93635-3419

Mailing address

2100 Powell St
Ste 900
Emeryville, CA 94608-1826
Phone (510) 350-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110629000877 CA Practitioner - Internal Medicine 9638167299 Reassigns benefits to 1 organization
I20160908002488 OR Practitioner - Internal Medicine 9638167299 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301071446MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Hospitalist CurrentSince Sep 28, 2016 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine Past Accepting new patients
Landmark Health of Oregon LLC PastSince Jul 16, 2016 Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of San Luis Obispo County, Inc Internal Medicine Past Accepting new patients
Huron Valley Hospitalists PLLC Internal Medicine PastSince Jun 1, 1999 Accepting new patients
Hospitalist Medicine Physicians of Imperial County, Inc.. Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Monterey County Inc. Internal Medicine Past Accepting new patients

Locations

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1376550913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2777",
            "fax_number": "510-879-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353419",
            "telephone_number": "209-826-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLANDER",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071446",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301071446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.