Active NPI
Stephen Friedman, M.D.
- Procedural Dermatology Physician
- Encino, CA
National Provider Identifier
1578529806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- C41756
- Practice address
- 16255 Ventura Blvd
#120
Encino, CA 91436-2302 - Phone
- (818) 986-3376
- Fax
- (818) 986-3385
- NPI assigned
- Apr 25, 2006
- Last updated
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | C41756 | CA | Primary |
Addresses
Primary practice location
16255 Ventura Blvd
#120
Encino, CA 91436-2302
Mailing address
16255 Ventura Blvd
#120
Encino, CA 91436-2302
Phone (818) 986-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C41756 | Other | CA | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Texas Medical School at San Antonio, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16255 Ventura Blvd
Encino, CA 91436-2300
Phone (818) 986-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 49 |
| Removal of skin lesions | 898 |
| Removal or shaving of skin growth | 27 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41756 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J Friedman, MD PC | Current | Accepting new patients |
Locations
16255 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 986-3376
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Encino, CA
- NPI 1558635771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1578529806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16255 VENTURA BLVD",
"address_2": "#120",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362302",
"telephone_number": "818-986-3376",
"fax_number": "818-986-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16255 VENTURA BLVD",
"address_2": "#120",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362302",
"telephone_number": "818-986-3376",
"fax_number": "818-986-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "C41756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C41756",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.