Individual provider Active NPI

Jonathan Robert Freed, M.D.

  • Specialist
  • Auburn, CA
National Provider Identifier
1932200292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G072375 Issued in CA
Practice address
3180 Bell Rd
Suite 200
Auburn, CA 95603-9200
Phone
(530) 885-4151
Fax
(530) 885-4131
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G072375 CA Primary

Addresses

Primary practice location

3180 Bell Rd
Suite 200
Auburn, CA 95603-9200

Mailing address

3180 Bell Rd
Suite 200
Auburn, CA 95603-9200
Phone (530) 885-4151

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
I20050819000634 CA Practitioner - Plastic and Reconstructive Surgery 4284664152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Loma Linda University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freed Plastic Surgery a Medical CorporationGroup PAC ID 2365596483, 2 clinicians

Practice addresses (Care Compare)

3180 Bell Rd
Suite 200
Auburn, CA 95603-9204
Phone (530) 885-4151

Hospital & facility affiliations

  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy29
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G072375CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Freed Plastic Surgery, a Medical Corporation CurrentSince Mar 1, 2009 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

3180 Bell Rd
Ste 200
Auburn, CA 95603
Phone (530) 885-4151

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932200292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 BELL RD",
            "address_2": "SUITE 200",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039200",
            "telephone_number": "530-885-4151",
            "fax_number": "530-885-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 BELL RD",
            "address_2": "SUITE 200",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039200",
            "telephone_number": "530-885-4151",
            "fax_number": "530-885-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G072375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.