Active NPI
Rory J Friedman, DPM
- Podiatrist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3644
- Practice address
- 1045 Atlantic Ave
Ste #807
Long Beach, CA 90813 - Phone
- (562) 437-3338
- Fax
- (562) 437-1919
- NPI assigned
- Aug 22, 2006
- Last updated
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3644 | CA | Primary |
Addresses
Primary practice location
1045 Atlantic Ave
Ste #807
Long Beach, CA 90813
Mailing address
1045 Atlantic Ave
Ste #807
Long Beach, CA 90813
Phone (562) 437-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E36440 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1760 Termino Ave
Suite 222
Long Beach, CA 90804-2157
Phone (562) 437-3338
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 206 |
| Removal of skin lesions | 928 |
| Removal of nail tissue | 1866 |
| Removal or shaving of skin growth | 28 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rory J Friedman DPM a Podiatry Corporation | Podiatrist | Current | Accepting new patients |
| Ibrahim Akkari DPM | Podiatrist | Current | Accepting new patients |
| St. Mary Medical Center | Past | Accepting new patients |
Locations
1045 Atlantic Ave
Ste 619
Long Beach, CA 90813
Phone (562) 437-3338
1760 Termino Ave
Ste 222
Long Beach, CA 90804
Phone (562) 230-6048
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
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- Podiatrist
- Long Beach, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1912013087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVE",
"address_2": "STE #807",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90813",
"telephone_number": "562-437-3338",
"fax_number": "562-437-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVE",
"address_2": "STE #807",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90813",
"telephone_number": "562-437-3338",
"fax_number": "562-437-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "RORY",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E36440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.