Individual provider Active NPI

Izhak Fridman, M.D.

  • Psychiatry Physician
  • Camp Pendleton, CA
National Provider Identifier
1447487871
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
143044 Issued in CA
Practice address
PO Box 555657
Camp Pendleton, CA 92055-5657
Phone
(607) 252-8197
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 143044 CA Primary
Psychiatry Physician 2084P0800X ME178116 FL

Addresses

Primary practice location

PO Box 555657
Camp Pendleton, CA 92055-5657

Mailing address

PO Box 555657
Camp Pendleton, CA 92055-5657
Phone (760) 725-2819

Other practice location 1

455 W Warren Ave Ste 100
Longwood, FL 32750-4038
Phone (407) 262-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260129004154 FL Practitioner - Psychiatry 8022256049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Uniformed Services Uhs Fe Hebert School of Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

455 W Warren Ave
Longwood, FL 32750-4038
Phone (407) 262-2220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME178116FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

455 W Warren Ave
Longwood, FL 32750
Phone (407) 260-0551

455 W Warren Ave
Ste 100
Longwood, FL 32750

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Organizations & group practices 2

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1447487871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555657",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555657",
            "telephone_number": "760-725-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 555657",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555657",
            "telephone_number": "607-252-8197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 W Warren Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504038",
            "country_code": "US",
            "telephone_number": "407-262-2220",
            "fax_number": "407-834-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "IZHAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "143044",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME178116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

Verify at the official NPI Registry.