Active NPI
Dahlia A Frydman, IBCLC, MASTER DOULA
- Lactation Consultant (Non-RN)
- Van Nuys, CA
National Provider Identifier
1649550922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 11159940
- Practice address
- 7454 Vista del Monte
Van Nuys, CA 91405 - Phone
- (818) 786-1877
- NPI assigned
- Aug 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | CA | ||
| Lactation Consultant (Non-RN) | 174N00000X | 11159940 | VA | Primary |
Addresses
Primary practice location
7454 Vista del Monte
Van Nuys, CA 91405
Mailing address
7454 Vista del Monte
Van Nuys, CA 91405
Phone (818) 786-1877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374J00000X | Other | CA | NURSING SERVICES, RELATED PROVIDER |
| 11159940 | Other | CA | IBCLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11159940 | VA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1649550922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7454 VISTA DEL MONTE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-786-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7454 VISTA DEL MONTE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-786-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYDMAN",
"first_name": "DAHLIA",
"middle_name": "A",
"credential": "IBCLC, MASTER DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "VA",
"license": "11159940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING SERVICES, RELATED PROVIDER",
"identifier": "374J00000X",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBCLC",
"identifier": "11159940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.