John R. Frey, M.D. Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G50392 Issued in CA

Legal business name

JOHN R. FREY, M.D. INC.

Practice address

7910 Frost St Ste 450
San Diego, CA 92123-2765

Phone

(858) 565-0104

Fax

(858) 565-0194

NPI assigned

Feb 26, 2010

Organization subpart

No

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

Authorized official

Name

Terri Frey

Title

Manager

Phone

(858) 565-0104

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1740502087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 FROST ST STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232765",
            "telephone_number": "858-565-0104",
            "fax_number": "858-565-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FROST ST STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232765",
            "telephone_number": "858-565-0104",
            "fax_number": "858-565-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. FREY, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-565-0104"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G50392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G50392",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.