Individual provider Active NPI

Marc L Friedman, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1730212788
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G50208 Issued in CA
Practice address
8700 Beverly Blvd
Room M 335
Los Angeles, CA 90048
Phone
(310) 423-8000
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G50208 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
Room M 335
Los Angeles, CA 90048

Mailing address

PO Box 4313
Woodland Hills, CA 91365-4313
Phone (805) 375-8800

Other identifiers 2

IdentifierTypeStateIssuer
00G502080MedicaidCA
RHL129987OtherCADEPT OF HEALTH SERVICES

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
I20110204000337 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6204914278 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G50208CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Imaging Medical Group a Professional Corporation Diagnostic Radiology CurrentSince Jan 23, 2009 Accepting new patients

Locations

8700 Beverly Blvd
Rm M
West Hollywood, CA 90048
Phone (310) 423-6500

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

8700 Beverly Blvd
#M335
West Hollywood, CA 90048
Phone (310) 423-6744

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730212788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4313",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913654313",
            "telephone_number": "805-375-8800",
            "fax_number": "805-375-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "ROOM M 335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-423-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MARC",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G50208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G502080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH SERVICES",
            "identifier": "RHL129987",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.