Organization Active NPI

Gerald S Friedman M D Inc

  • Nephrology Physician
  • Upland, CA
National Provider Identifier
1861791105
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G19835 Issued in CA
Legal business name
GERALD S FRIEDMAN M D INC
Practice address
600 N 13TH Ave
Suite 100
Upland, CA 91786-4957
Phone
(909) 373-1799
Fax
(909) 373-0428
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Dr. Gerald S Friedman, MD
Title
President
Phone
(909) 373-1799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X G19835 CA Primary

Addresses

Primary practice location

600 N 13TH Ave
Suite 100
Upland, CA 91786-4957

Mailing address

600 N 13TH Ave
Suite 100
Upland, CA 91786-4957
Phone (909) 373-1799

Other identifiers 1

IdentifierTypeStateIssuer
00G198350MedicaidCA

National Provider Directory

National Provider Directory

Locations

2475 N Garey Ave
#100
Pomona, CA 91767
Phone (909) 373-1799

600 N 13th Ave
Ste 100
Upland, CA 91786
Phone (909) 373-1799

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": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1861791105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 13TH AVE",
            "address_2": "SUITE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864957",
            "telephone_number": "909-373-1799",
            "fax_number": "909-373-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 13TH AVE",
            "address_2": "SUITE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864957",
            "telephone_number": "909-373-1799",
            "fax_number": "909-373-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD S FRIEDMAN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-373-1799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G19835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G198350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.