Active NPI
Esperanza Friedman, C.O.
- Prosthetic/Orthotic Supplier
- San Diego, CA
National Provider Identifier
1871779272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CO004434
- Practice address
- 11411 W Bernardo CT.
San Diego, CA 92127 - Phone
- (858) 613-0958
- Fax
- (858) 613-0959
- NPI assigned
- Jan 15, 2008
- Last updated
- May 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CO004434 | DE | Primary |
Addresses
Primary practice location
11411 W Bernardo CT.
San Diego, CA 92127
Mailing address
11411 W Bernardo CT.
San Diego, CA 92127
Phone (858) 613-0958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GXC000850 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO004434 | DE | MD | Prosthetic/Orthotic Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & J Artificial Limb & Brace LLC | Prosthetic/Orthotic Supplier | Current | Accepting new patients |
Locations
11411 W Bernardo Ct
San Diego, CA 92127
Phone (858) 613-0958
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba J & J Artificial Limb and Brace
- Prosthetic/Orthotic Supplier
- San Diego, CA
- NPI 1508911173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1871779272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11411 W BERNARDO CT.",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "858-613-0958",
"fax_number": "858-613-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11411 W BERNARDO CT.",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "858-613-0958",
"fax_number": "858-613-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "ESPERANZA",
"name_prefix": "Mrs.",
"credential": "C.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-15",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "DE",
"license": "CO004434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GXC000850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.