Individual provider Active NPI

Ronald Jay Friedman, M.D.

  • Specialist
  • Westlake Village, CA
National Provider Identifier
1811069982
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G17191 Issued in CA
Practice address
5706 Corsa Ave
Suite 200-O
Westlake Village, CA 91362-4057
Phone
(800) 400-4674
Fax
(818) 251-1112
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G17191 CA Primary

Addresses

Primary practice location

5706 Corsa Ave
Suite 200-O
Westlake Village, CA 91362-4057

Mailing address

20750 Ventura Blvd
Suite 106
Woodland Hills, CA 91364-2338
Phone (818) 346-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G17191CAMDSpecialist
17191CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Diagnostic Associates, a Medical Corporation Specialist Past Accepting new patients
Dot Com Medical, a Medical Corporation Specialist Past Accepting new patients

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811069982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20750 VENTURA BLVD",
            "address_2": "SUITE 106",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642338",
            "telephone_number": "818-346-3500",
            "fax_number": "818-251-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 CORSA AVE",
            "address_2": "SUITE 200-O",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624057",
            "telephone_number": "800-400-4674",
            "fax_number": "818-251-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "RONALD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G17191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.