Active NPI
Nicole Anne Friel, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A151736
- Practice address
- 2425 Stockton Blvd
Sacramento, CA 95817-2215 - Phone
- (916) 453-2000
- NPI assigned
- Sep 27, 2010
- Last updated
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MT197531 | PA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036.140214 | IL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 01076641A | IN | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A151736 | CA | Primary |
Addresses
Primary practice location
2425 Stockton Blvd
Sacramento, CA 95817-2215
Mailing address
2425 Stockton Blvd
Sacramento, CA 95817-2215
Phone (708) 288-7898
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT197531 | PA | MD | Orthopaedic Surgery Physician |
| A151736 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| 01076641A | IN | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Regents of the Univ of Ca | Orthopaedic Surgery | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Upmc East | Past | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
909 S Fair Oaks Ave
Ste 100
Pasadena, CA 91105
2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
4868 X St
Ste 3D3E
Sacramento, CA 95817
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
Organizations & group practices 12
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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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1962711861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172215",
"telephone_number": "708-288-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172215",
"telephone_number": "916-453-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEL",
"first_name": "NICOLE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MT197531",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036.140214",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "01076641A",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A151736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.