Individual provider Active NPI

Alex Fridman Jr., M.D.

  • Internal Medicine Physician
  • Northridge, CA
National Provider Identifier
1902018385
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A103675 Issued in CA
Practice address
17114 Devonshire St # 200
Northridge, CA 91325-1619
Phone
(818) 646-1771
Fax
(818) 855-2335
NPI assigned
May 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X A103675 CA
Internal Medicine Physician 207R00000X A103675 CA Primary

Addresses

Primary practice location

17114 Devonshire St # 200
Northridge, CA 91325-1619

Mailing address

5222 Lindley Ave Unit 1
Encino, CA 91316-3554
Phone (818) 570-2640

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081128000088 CA Practitioner - Internal Medicine 4284794835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All-Inclusive Community Health CenterGroup PAC ID 5294905006, 12 clinicians

Practice addresses (Care Compare)

17114 Devonshire St
Suite 200
Northridge, CA 91325-1619
Phone (818) 646-1771

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A103675CAMDHealth Service Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Medical Center, Inc. Health Service Current Accepting new patients
Alex Fridman, M.D., a Professional Corporation Internal Medicine CurrentSince Nov 7, 2025 Accepting new patients
All-Inclusive Community Health Center CurrentSince May 19, 2025 Accepting new patients
All-Inclusive Community Health Center Current Accepting new patients
Southern California Medical Center, Inc. CurrentSince Feb 4, 2025 Accepting new patients
Regal Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

1311 N San Fernando Blvd
Burbank, CA 91504
Phone (818) 843-9900

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

1627 E Anaheim St
Long Beach, CA 90813
Phone (562) 437-0373

17114 Devonshire St
Northridge, CA 91325
Phone (818) 646-1771

17114 Devonshire St
Ste 200
Northridge, CA 91325
Phone (818) 646-1771

17114 Devonshire St
Ste 101
Northridge, CA 91325
Phone (818) 998-6000

8825 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 699-3333

20011 Ventura Blvd
Ste 1002
Woodland Hills, CA 91364
Phone (818) 708-6163

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alexmd.fridmanjr.p1@direct.scmedcenter.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: alex.fridmanjr.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1902018385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 LINDLEY AVE UNIT 1",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163554",
            "telephone_number": "818-570-2640",
            "fax_number": "425-305-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17114 DEVONSHIRE ST # 200",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251619",
            "telephone_number": "818-646-1771",
            "fax_number": "818-855-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "ALEX",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A103675",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A103675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.