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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO1661 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GXC000850 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
15644 POMERADO RD SUITE 103 |
City | POWAY |
State | CA |
Zip Code | 92064-2400 |
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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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 |
Find all providers in zip 92064 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
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. |
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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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.