Individual provider Active NPI

Gregory Vincent Froelich, OTC

  • Orthopedic Assistant
  • Garden Grove, CA
National Provider Identifier
1396295226
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic AssistantTaxonomy code 246ZX2200X
Practice address
6692 Healey Ave
Garden Grove, CA 92845-2217
Phone
(714) 642-6136
NPI assigned
Oct 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X
Orthopedic Assistant 246ZX2200X Primary

Addresses

Primary practice location

6692 Healey Ave
Garden Grove, CA 92845-2217

Mailing address

6692 Healey Ave
Garden Grove, CA 92845
Phone (714) 642-6136

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

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1396295226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6692 HEALEY AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "714-642-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 HEALEY AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452217",
            "telephone_number": "714-642-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROELICH",
        "first_name": "GREGORY",
        "middle_name": "VINCENT",
        "credential": "OTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.