Active NPI
Sheila Fallon Friedlander, M.D.
- Pediatric Dermatology Physician
- San Diego, CA
National Provider Identifier
1386715043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dermatology Physician
- License
- G54225
- Practice address
- 8010 Frost St
Suite 602
San Diego, CA 92123-2778 - Phone
- (858) 966-6795
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G54225 | CA | |
| Pediatric Dermatology Physician | 207NP0225X | G54225 | CA | Primary |
| Pediatrics Physician | 208000000X | G54225 | CA |
Addresses
Primary practice location
8010 Frost St
Suite 602
San Diego, CA 92123-2778
Mailing address
3860 Calle Fortunada
Suite 210
San Diego, CA 92123-4800
Phone (858) 309-6303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G542250 | Medicaid | CA |
Other names 1
- Sheila Marie Fallon
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54225 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Pediatric Subspecialty Faculty, Inc. | Pediatrics | Past | Accepting new patients |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
Interoperability endpoints
- sfriedlander324407@scrippshlth.medalliesdirect.net
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1386715043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 CALLE FORTUNADA",
"address_2": "SUITE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234800",
"telephone_number": "858-309-6303",
"fax_number": "858-309-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 FROST ST",
"address_2": "SUITE 602",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232778",
"telephone_number": "858-966-6795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDLANDER",
"first_name": "SHEILA",
"middle_name": "FALLON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G54225",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "CA",
"license": "G54225",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G54225",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G542250",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHEILA",
"last_name": "FALLON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.