Individual provider Active NPI

Rory J Friedman, DPM

  • Podiatrist
  • Long Beach, CA
National Provider Identifier
1912013087
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3644 Issued in CA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E36440MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000788 CA Practitioner - Podiatry 4385778661 Reassigns benefits to 1 organization
Practice locations: Long Beach, CA

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
Rory J Friedman DPM a Podiatry CorporationGroup PAC ID 0143697045, 2 clinicians

Practice addresses (Care Compare)

1760 Termino Ave
Suite 222
Long Beach, CA 90804-2157
Phone (562) 437-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue206
Removal of skin lesions928
Removal of nail tissue1866
Removal or shaving of skin growth28
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rory J Friedman DPM a Podiatry Corporation Podiatrist CurrentSince Sep 15, 2022 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.

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

Verify at the official NPI Registry.