Frederick Barry Axelrod, MD

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

G60047 Issued in CA

Practice address

384 W Orange Show Rd
Blood Bank of San Bernardino and Riverside Counties
San Bernardino, CA 92408-2028

Phone

(909) 885-6503

Fax

(909) 381-2036

NPI assigned

Apr 17, 2008

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Blood Bank of San Bernardino & Riverside Counties

  • Clinical Medical Laboratory
  • San Bernardino, CA
  • NPI 1205040300
  Authorized official Same address or phone
• Blood Bank of San Bernardino and Riverside Counties

  dba LifeStream

  • Blood Bank
  • San Bernardino, CA
  • NPI 1508157520
  Authorized official Same address or phone

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1558535740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 W ORANGE SHOW RD",
            "address_2": "BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082028",
            "telephone_number": "909-885-6503",
            "fax_number": "909-381-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 W ORANGE SHOW RD",
            "address_2": "BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082028",
            "telephone_number": "909-885-6503",
            "fax_number": "909-381-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELROD",
        "first_name": "FREDERICK",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "G60047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Avila
• Jose Avila
• Mark Avila
• Priscilla Avila
• Veronica Avila
• Rachel Axelrod
• Axiom Pain Management Inc
• Bryanna Graciela Ayala
• David Ayala
• Ismael Ayala

• Clinical Pathology/Laboratory Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Clinical Pathology/Laboratory Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.