Individual provider Active NPI

Ella Fridman, PHARM.D.

  • Pharmacist
  • Santa Ana, CA
National Provider Identifier
1780849729
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55603 Issued in CA
Practice address
1920 E 17TH St Ste 200
Santa Ana, CA 92705-8626
Phone
(562) 620-4356
Fax
(562) 321-9765
NPI assigned
Jul 18, 2008
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55603 CA Primary

Addresses

Primary practice location

1920 E 17TH St Ste 200
Santa Ana, CA 92705-8626

Mailing address

14245 Dickens St Unit 203
Sherman Oaks, CA 91423-5811
Phone (818) 783-6075

Other practice location 1

2505 Reading Dr
McKinney, TX 75071-1542
Phone (818) 445-1502

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
55603CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1780849729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14245 DICKENS ST UNIT 203",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235811",
            "telephone_number": "818-783-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058626",
            "telephone_number": "562-620-4356",
            "fax_number": "562-321-9765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Reading Dr",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750711542",
            "country_code": "US",
            "telephone_number": "818-445-1502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "ELLA",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.