Active NPI
Richard Gary Friedman, M.D.
- Cardiovascular Disease Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G03243
- Practice address
- 4060 Fourth Ave
Suite 650
San Diego, CA 92103-2116 - Phone
- (619) 819-7222
- Fax
- (619) 299-5023
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G03243 | CA | Primary |
| Interventional Cardiology Physician | 207RI0011X | G03243 | CA |
Addresses
Primary practice location
4060 Fourth Ave
Suite 650
San Diego, CA 92103-2116
Mailing address
4060 Fourth Ave
Suite 650
San Diego, CA 92103-2116
Phone (619) 819-7222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G324300 | Medicaid | CA | |
| 00G324300 | Other | CA | BLUE SHIELD |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Minnesota Medical School, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 260-7245
Hospital & facility affiliations
- Scripps Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32430 | CA | MD | Periodontist |
| G03243 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Mercy Physicians Cardiology Medical Corporation | Cardiovascular Disease | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| On Call Specialists Medical Group of San Diego, Inc. | Current | Accepting new patients |
Locations
6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
4060 4th Ave
San Diego, CA 92103
Phone (619) 298-9931
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
4060 4th Ave
Ste 650
San Diego, CA 92103
Phone (619) 819-7222
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rfriedman28440@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Specialist
- San Diego, CA
- NPI 1962175836
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1477644474
Cardiovascular Disease
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1881789196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE",
"address_2": "SUITE 650",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032116",
"telephone_number": "619-819-7222",
"fax_number": "619-299-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE",
"address_2": "SUITE 650",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032116",
"telephone_number": "619-819-7222",
"fax_number": "619-299-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "RICHARD",
"middle_name": "GARY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G03243",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "G03243",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G324300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G324300",
"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 Nov 4, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.