Active NPI
Ronald Jay Friedman, M.D.
- Specialist
- Westlake Village, CA
National Provider Identifier
1811069982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G17191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17191 | CA | MD | Specialist |
| 17191 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Westlake Village, CA
- NPI 1174696215
-
- Specialist
- Westlake Village, CA
- NPI 1598838617
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.