Active NPI
Diane E Friedman MD LLC
- Family Medicine Physician
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 99-200
- Legal business name
- DIANE E FRIEDMAN MD LLC
- Practice address
- 2019 Galisteo St
Suite N9A
Santa Fe, NM 87505-2143 - Phone
- (505) 988-1930
- Fax
- (505) 982-9931
- NPI assigned
- Jul 5, 2006
- Last updated
- Mar 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane Elizabeth Friedman, M.D.
- Title
- Owner
- Phone
- (505) 988-1930
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 99-200 | NM | Primary |
Addresses
Primary practice location
2019 Galisteo St
Suite N9A
Santa Fe, NM 87505-2143
Mailing address
2019 Galisteo St
Suite N9A
Santa Fe, NM 87505-2143
Phone (505) 988-1930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54700833 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
2019 Galisteo St
Ste N9A
Santa Fe, NM 87505
Phone (505) 820-1482
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1033160387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363651200000",
"number": "1780614446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 GALISTEO ST",
"address_2": "SUITE N9A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052143",
"telephone_number": "505-988-1930",
"fax_number": "505-982-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 GALISTEO ST",
"address_2": "SUITE N9A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052143",
"telephone_number": "505-988-1930",
"fax_number": "505-982-9931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANE E FRIEDMAN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2013-03-19",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-988-1930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "99-200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54700833",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.