Jeremy M Frend, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G61534 Issued in CA

Practice address

1411 N Hollywood Way
Burbank, CA 91505-1826

Phone

(818) 841-9990

Fax

(818) 972-9067

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Mend & Restore LLC

  • Multi-Specialty Clinic/Center
  • Studio City, CA
  • NPI 1760371363
  Medicare reassignment NPD
• Childrens Hospital of Los Angeles

  • Children's Hospital
  • Los Angeles, CA
  • NPI 1124073366
  NPD (past)
• Lucille J Uber, MD, a Medical Corp

  • Primary Care Clinic/Center
  • Burbank, CA
  • NPI 1538827613
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831199769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5829 RHODES AVE",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916071129",
            "telephone_number": "818-980-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051826",
            "telephone_number": "818-841-9990",
            "fax_number": "818-972-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREND",
        "first_name": "JEREMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G61534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fratt Dental Corporation
• Semaja Frazier
• Ruth A Frechman, M.A.,R.D.
• Fred H Dubick OD Inc
• Freedom Care Ca LLC
• Richard Lee Friedman, M.D.
• Stephanie Abandy Frimpong, DNP, PMHNP-BC
• Mary L Frintner, AU.D.
• Howard C. Frydman, MD
• Daniel Chu Fu, DO

• Pediatrics Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• 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.