Active NPI
Gerald S Friedman M D Inc
- Nephrology Physician
- Upland, CA
National Provider Identifier
1861791105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G19835
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G198350 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Fontana, CA
- NPI 1770693087
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.