Organization Active NPI

Frederick D. Williams, M.D., Inc.

  • Ophthalmology Physician
  • Inglewood, CA
National Provider Identifier
1841592227
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G41755 Issued in CA
Legal business name
FREDERICK D. WILLIAMS, M.D., INC.
Practice address
1506 Centinela Ave
Inglewood, CA 90302-1144
Phone
(310) 419-5075
Fax
(310) 419-0520
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. Frederick D. Williams, M.D.NPI 1194797258
Title
Owner/President
Phone
(310) 419-5075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G41755 CA Primary

Addresses

Primary practice location

1506 Centinela Ave
Inglewood, CA 90302-1144

Mailing address

1506 Centinela Ave
Inglewood, CA 90302-1144
Phone (310) 419-5075

Other identifiers 1

IdentifierTypeStateIssuer
00G417550MedicaidCA

Other names 1

  • Frederick D. Williams, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

1506 Centinela Ave
Inglewood, CA 90302
Phone (310) 419-5075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1841592227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021144",
            "telephone_number": "310-419-5075",
            "fax_number": "310-419-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021144",
            "telephone_number": "310-419-5075",
            "fax_number": "310-419-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK D. WILLIAMS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-419-5075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G41755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G417550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick D. Williams, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.