Carol Frey M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G45808 Issued in CA

Legal business name

CAROL FREY M.D., INC

Practice address

1200 Rosecrans Ave
Suite 208
Manhattan Beach, CA 90266-2462

Phone

(310) 416-9700

Fax

(310) 416-1120

NPI assigned

Jan 4, 2010

Last updated

Sep 11, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROL FREYAs reported in NPPES

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

Authorized official

Name

Dr. Carol Frey, M.D.NPI 1083751382

Title

Owner

Phone

(310) 416-9700

Specialties & licenses 1

Addresses

Other names 1

• Carol Frey M.D., Inc Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Carol Frey MD Inc

Locations

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.

• Carol Frey, M.D.

  • Specialist
  • Manhattan Beach, CA
  • NPI 1083751382
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1811227457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "SUITE 208",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "310-416-9700",
            "fax_number": "310-416-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "SUITE 208",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "310-416-9700",
            "fax_number": "310-416-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL FREY M.D., INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROL  FREY",
        "enumeration_date": "2010-01-04",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-416-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G45808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol Frey M.D., Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Carol Frey M.D., Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Lisbeth Angelica Castillo, BCBA
• Amanda Cavan
• Center for Behavior Analysis & Language Development

• Specialist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.