Organization Active NPI

Yaron Friedman, MD, Inc

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
National Provider Identifier
1447330139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A74362 Issued in CA
Legal business name
YARON FRIEDMAN, MD, INC
Practice address
130 La Casa Via BLDG 3
Suite 112
Walnut Creek, CA 94598-3045
Phone
(925) 301-9875
Fax
(925) 885-2484
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yaron Friedman, M.D.NPI 1730104704
Title
President
Phone
(925) 301-9875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A74362 CA Primary

Addresses

Primary practice location

130 La Casa Via BLDG 3
Suite 112
Walnut Creek, CA 94598-3045

Mailing address

130 La Casa Via BLDG 3
Suite 112
Walnut Creek, CA 94598-3045
Phone (925) 301-9875

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherSSN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071031000647 CA Part B Supplier - Clinic/Group Practice 9234178732 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut Creek, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1063567Yaron Friedman, MD, Inc130 La Casa Via, BLDG 3, Suite 112, Walnut Creek, CA 94598Provider-performed microscopyJan 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447330139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA BLDG 3",
            "address_2": "SUITE 112",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-301-9875",
            "fax_number": "925-885-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA BLDG 3",
            "address_2": "SUITE 112",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-301-9875",
            "fax_number": "925-885-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARON FRIEDMAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "YARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-301-9875",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A74362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.