Individual provider Active NPI

Bruce F Friedman, MD

  • Allergy Physician
  • Fountain Valley, CA
National Provider Identifier
1457345225
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
G53565 Issued in CA
Practice address
11180 Warner Ave
Suite 255
Fountain Valley, CA 92708-7501
Phone
(714) 549-9330
Fax
(714) 549-9553
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X G53565 CA Primary

Addresses

Primary practice location

11180 Warner Ave
Suite 255
Fountain Valley, CA 92708-7501

Mailing address

11180 Warner Ave
Suite 255
Fountain Valley, CA 92708-7501
Phone (714) 549-9330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040426000461 CA Practitioner - Allergy/Immunology 9537155387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Chicago College of Medicine and Surgery, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Odyssey
Suite 240
Irvine, CA 92618-7700
Phone (949) 753-9300

Merit-based Incentive Payment System (MIPS)

Final score
78.41 of 100Reported as individual
Quality
49.6
Improvement activities
40
Cost
87.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53565CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
G53565CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce F. Friedman, M.D., Inc. Allergy CurrentSince Jul 28, 1986 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

11180 Warner Ave
Ste 225
Fountain Vly, CA 92708

11180 Warner Ave
Ste 255
Fountain Vly, CA 92708
Phone (714) 549-9330

16300 Sand Canyon Ave
Ste 708
Irvine, CA 92618
Phone (949) 727-3884

22 Odyssey
Ste 240
Irvine, CA 92618
Phone (888) 700-0750

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1457345225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE",
            "address_2": "SUITE 255",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-549-9330",
            "fax_number": "714-549-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE",
            "address_2": "SUITE 255",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-549-9330",
            "fax_number": "714-549-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "BRUCE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G53565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.