Individual provider Active NPI

Jack P. Freinhar, M.D.

  • Psychiatry Physician
  • Torrance, CA
National Provider Identifier
1689618878
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G53350 Issued in CA
Practice address
24050 Madison St
Ste 100P
Torrance, CA 90505-6080
Phone
(310) 373-5717
Fax
(424) 400-7749
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G53350 CA Primary

Addresses

Primary practice location

24050 Madison St
Ste 100P
Torrance, CA 90505-6080

Mailing address

24050 Madison St
Ste 100P
Torrance, CA 90505-6080
Phone (310) 373-5717

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
I20040526001701 CA Practitioner - Psychiatry 9638150576 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23700 Camino del Sol
Torrance, CA 90505-5017
Phone (310) 530-1151

24050 Madison St
Suite 100P
Torrance, CA 90505-6080
Phone (310) 373-5717

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1689618878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "STE 100P",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056080",
            "telephone_number": "310-373-5717",
            "fax_number": "424-400-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "STE 100P",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056080",
            "telephone_number": "310-373-5717",
            "fax_number": "424-400-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREINHAR",
        "first_name": "JACK",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G53350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.