JASON TODD FRIEDMAN


Address: 15644 Pomerado Rd, Suite 103, Poway, CA 92064-2400
Phone: 8586130958

JASON TODD FRIEDMAN (NPI# 1881870285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881870285
Entity Type Individual
Full Name JASON TODD FRIEDMAN
Credential C.P.O.
Practice Address 15644 Pomerado Rd
Suite 103
Poway
CA 92064-2400
Practice Telephone 8586130958
Practice Fax Number 8586130959
Mailing Telephone 8586130958
Mailing Fax Number 8586130959
Enumeration Date 2008-01-15
Last Update Date 2010-06-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier CPO1661 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA GXC000850 05

Other Providers JASON FRIEDMAN

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1942739420 Jason Friedman Dentist 367 Rutherford Blvd, Clifton, NJ 07014 2017-06-08
1447640545 Jason Friedman Physical Therapist 700 2nd Street Northeast, Washington, DC 20002 2015-01-27
1932276284 Jason Alexander Friedman Chiropractor 1004 Nw Milwaukee Ave, Suite 200, Bend, OR 97701-2243 2006-11-30
1346661394 Jason C. Friedman Psychologist 25101 Chagrin Blvd, Suite 100, Beachwood, OH 44122-5643 2013-12-18
1578677936 Jason N Friedman Chiropractor 426 S Main St, Lombard, IL 60148-2600 2006-08-19
1679519342 Jason Brian Friedman Emergency Medicine 45 Reade Place, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 2006-06-21
1114999166 Jason Friedman Psychiatry & Neurology Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2006-02-03

Office Location

Street Address 15644 POMERADO RD
SUITE 103
City POWAY
State CA
Zip Code 92064-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578529731 Paul Neustein Urology 15644 Pomerado Rd, Suite 206, Poway, CA 92064-2400 2006-04-25
1720565526 Kimberly Nicole Skillicorn Psychologist 15644 Pomerado Rd, Poway, CA 92064-2400 2018-07-24
1811445646 Pacifico West Rx, Inc. Pharmacy 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 2016-09-21
1164885869 Lauren Elisabeth Pichard Psychologist 15644 Pomerado Rd, Suite 305, Poway, CA 92064-2400 2016-03-30
1285090902 Jocelyn Moll Nurse Practitioner 15644 Pomerado Rd, Ste 206, Poway, CA 92064-2419 2016-01-11
1922485176 Janet Wells Acupuncturist 15644 Pomerado Rd, Suite 306, Poway, CA 92064-2419 2015-04-27
1811399660 Katherine Fleming Physician Assistant 15644 Pomerado Rd, Suite 202, Poway, CA 92064-2400 2014-09-24
1467882779 Thrive Rx Specialty Pharmacy Corporation Pharmacy 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 2013-11-22
1346675618 Resetsleepcom Inc Clinic/Center 15644 Pomerado Rd, Suite 200, Poway, CA 92064-2400 2013-09-05
1508203506 Maryna Blom Pharmacist 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 2013-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194357384 Prabha Choudhary Student in an Organized Health Care Education/Training Program 17555, Corte Lomas Verdes, Poway, CA 92064 2020-02-06
1770143968 Theresa Marie Morales In Home Supportive Care 15352 Running Deer Trl, Poway, CA 92064 2019-06-19
1689230997 Jaclyn Miller Audiologist Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 2019-05-13
1205306842 Angelita Fuentes Behavior Technician 12975 Brookprinter Place Suite 250, Poway, CA 92064 2018-11-27
1396235271 Michael Cutler, M.d., P.C. Clinic/Center 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 2018-05-16
1720576671 Jodi A Mcgrady Dmd, Ms, Adc Dentist 12350 Oak Knoll Rd, Poway, CA 92064 2018-04-26
1295237139 Michelle J. Beaupre Social Worker 204 Poway Rd., Poway, CA 92064 2018-03-07
1669918165 Restore Detox Centers Substance Abuse Rehabilitation Facility 14099 Sky Mountain Trail, Poway, CA 92064 2017-01-09
1205382561 Nightingale Meyou Pharmacist 5615 Pomerado Rd, Poway, CA 92064 2016-08-28
1578017232 Elan Lee Dentist 13035 Pomerado Road Suite B, Poway, CA 92064 2016-08-11
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821696592 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 3031 W March Ln Ste 216w, Stockton, CA 95219-6500 2020-10-14
1871191742 Alcam Medical Inc. Prosthetic/Orthotic Supplier 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 2020-10-13
1740887462 A-z Consulting O & P Services Prosthetic/Orthotic Supplier 1133 Smith Ln Ste 5, Roseville, CA 95661-4131 2020-10-06
1255938452 Sheek Hair Boutique Prosthetic/Orthotic Supplier 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 2020-10-01
1922615368 Inland Artificial Limb & Brace Prosthetic/Orthotic Supplier 1101 Bryan Ave Ste C, Tustin, CA 92780-4401 2020-09-29
1043823461 Crystal Johnson Prosthetic/Orthotic Supplier 812 S Flower St Apt 4, Inglewood, CA 90301-7913 2020-08-25
1225640220 Christopher Holloway Prosthetic/Orthotic Supplier 4517 Market St Ste 4, Ventura, CA 93003-7841 2020-08-20
1407468416 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 488 E Valley Pkwy Ste 207, Escondido, CA 92025-3368 2020-08-20
1801406269 Restore Medical Inc Prosthetic/Orthotic Supplier 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 2020-07-31
1801404199 Covering With Care Prosthetic/Orthotic Supplier 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 2020-07-22
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Competitor

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City POWAY
Zip Code 92064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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