Individual provider Active NPI

Elizabeth Friday

  • Family Nurse Practitioner
  • Paramount, CA
National Provider Identifier
1851855779
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010755 Issued in CA
Practice address
16660 Paramount Blvd
Paramount, CA 90723-5433
Phone
(562) 408-0131
Fax
(772) 252-3337
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010755 CA Primary

Addresses

Primary practice location

16660 Paramount Blvd
Paramount, CA 90723-5433

Mailing address

7552 Trabuco LN
La Palma, CA 90623-1435
Phone (562) 257-8635

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404002695 CA Practitioner - Nurse Practitioner 2668868480 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Research and Treatment, Inc. CurrentSince Jan 18, 2022 Accepting new patients
Baart Community Healthcare CurrentSince Jan 18, 2022 Accepting new patients
Baart Community Healthcare CurrentSince Jan 18, 2022 Accepting new patients
Baart Community Healthcare Current Accepting new patients

Locations

1926 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 353-1140

1720 Lakepointe Dr
Ste 117
Lewisville, TX 75057

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1851855779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 TRABUCO LN",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231435",
            "telephone_number": "562-257-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16660 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235433",
            "telephone_number": "562-408-0131",
            "fax_number": "772-252-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.