Nina Fridman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

47850 Issued in CA

Practice address

747 E Altadena Dr
Altadena, CA 91001-2302

Phone

(626) 794-8133

Fax

(626) 794-9163

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Nina Fridman, DDS, Inc

  • Dental Clinic/Center
  • Altadena, CA
  • NPI 1508059148
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1851460976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073 CAMELLIA AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043007",
            "telephone_number": "213-864-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 E ALTADENA DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012302",
            "telephone_number": "626-794-8133",
            "fax_number": "626-794-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "NINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freda Felicia Forrest
• Laura Fox
• Leonard Frayman
• Allison Frazier
• Matthew Freng
• Ft. Knox Supportive Housing for Homeless Veterans
• Alejandra Torres Gagne, LMFT
• Lourdes Galvez-Galvan
• Bianca Maia Garcia, AMFT
• Blanca Cristina Garcia, RD

• Dentist in Altadena, CA
• Providers in Altadena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.