Fredrick Butler II, MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A73853 Issued in CA

Legal business name

FREDRICK BUTLER II, MD, INC

Practice address

10657 W Pico Blvd
Los Angeles, CA 90064-2222

Phone

(310) 295-0079

NPI assigned

Jul 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Butler II, MD

Title

Physician

Phone

(818) 957-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1972768208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 ANTIOCH ST",
            "address_2": "SUITE 820",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723628",
            "telephone_number": "310-295-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10657 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642222",
            "telephone_number": "310-295-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICK BUTLER II, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-957-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427088830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Frederick
• Ronald James Frederick Jr., PHD
• Ross Frederick
• Linda Raelene Frederico, CRNA
• Fredia Isis Cadavid
• Freds DME Supply LLC
• Fredy Perez OD a Professional Corp
• Free From Hardship la Inc
• Free N One a Drug and Alcohol Free Program
• Free N One, a Drug and Alcohol Free Program

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.