Julia Freidenberg, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

104158 Issued in CA

Practice address

4165 Beverly Blvd
Los Angeles, CA 90004-4418

Phone

(323) 331-9242

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Western University of Health Sciences College of Dental Med, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Los Angeles Free Clinic

  dba Saban Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1194893248
  Medicare reassignment NPD
• The Los Angeles Free Clinic

  dba Saban Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1336281179
  NPD
• The Los Angeles Free Clinic

  dba Saban Community Clinic

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1558740852
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1790339067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 FOUNTAIN AVE APT 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464178",
            "telephone_number": "206-335-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044418",
            "telephone_number": "323-331-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIDENBERG",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jfreidenberg@westernu.edu",
            "affiliation": "N",
            "address_1": "4165 Beverly Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900044418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Fregoso
• Mario A Fregoso
• Marisol Garcia Fregoso
• Sonia Elvira Fregoso, LMFT
• Sarah Elizabeth Freiberg, P.A.
• William Alexander Freije, MD
• Daniel Gray Freimer, MD
• Nelson Bruce Freimer
• Michael Anthony Freire
• Bonnie Cary Freitas, M.D.

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.