Organization Active NPI

Friendly Eye Medical Group Inc

  • Ophthalmology Physician
  • La Palma, CA
National Provider Identifier
1922180843
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FRIENDLY EYE MEDICAL GROUP INC
Practice address
5451 La Palma Ave #44
La Palma, CA 90623
Phone
(714) 521-2290
Fax
(714) 521-9240
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Yadavinder Dang
Title
President
Phone
(714) 521-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5451 La Palma Ave #44
La Palma, CA 90623

Mailing address

5451 La Palma Ave #44
La Palma, CA 90623
Phone (714) 521-2290

Other identifiers 1

IdentifierTypeStateIssuer
GR0085830MedicaidCA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12465 Putnam St Ste 203
Whittier, CA 90602

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1922180843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE #44",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "90623",
            "telephone_number": "714-521-2290",
            "fax_number": "714-521-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE #44",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "90623",
            "telephone_number": "714-521-2290",
            "fax_number": "714-521-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY EYE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "YADAVINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-521-2290"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.