Active NPI
Harry David Friedman, DO
- General Practice Physician
- San Jose, CA
National Provider Identifier
1881866812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 20A5876
- Practice address
- 3097 Moorpark Ave
Suite 102
San Jose, CA 95128-2543 - Phone
- (408) 247-1169
- Fax
- (408) 300-5076
- NPI assigned
- Mar 31, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 20A5876 | CA | Primary |
Addresses
Primary practice location
3097 Moorpark Ave
Suite 102
San Jose, CA 95128-2543
Mailing address
3097 Moorpark Avenue
Suite 102
San Jose, CA 95128
Phone (408) 247-1169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 16, 2013 through May 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1881866812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3097 MOORPARK AVENUE",
"address_2": "SUITE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-247-1169",
"fax_number": "408-300-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3097 MOORPARK AVE",
"address_2": "SUITE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282543",
"telephone_number": "408-247-1169",
"fax_number": "408-300-5076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "HARRY",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-31",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A5876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.