DR. KAREN PHYLLIS FREI (NPI# 1902836141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902836141 |
Entity Type | Individual |
Full Name | DR. KAREN PHYLLIS FREI |
Credential | M.D. |
Practice Address |
11370 Anderson St # B-100 Loma Linda CA 92354 |
Mailing Address |
6887 Mango St Alta Loma CA 91701-5320 |
Practice Telephone | 9095882880 |
Practice Fax Number | 9095582137 |
Mailing Telephone | 9099877838 |
Mailing Fax Number | 9099879838 |
Enumeration Date | 2006-07-04 |
Last Update Date | 2018-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G85492 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 0068549209 | 05 |
Street Address |
11370 ANDERSON ST # B-100 |
City | LOMA LINDA |
State | CA |
Zip Code | 92354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
Find all providers in zip 92354 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255589891 | Vincent Vinh Truong | Psychiatry & Neurology | 11370 Anderson St # B100, Loma Linda, CA 92354-3450 | 2008-09-08 |
1356530208 | Travis Erik Losey | Psychiatry & Neurology | Loma Linda University Dept Of, 11370 Anderson St # 2400, Loma Linda, CA 92354-2741 | 2007-10-17 |
1568496925 | Gordon W Peterson | Psychiatry & Neurology | 11370 Anderson St Ste B-100, Loma Linda, CA 92354 | 2006-07-10 |
1942230966 | Laura D Nist | Psychiatry & Neurology | 11370 Anderson St Ste B100, Loma Linda, CA 92354 | 2006-07-04 |
1639115900 | Bryan E Tsao | Psychiatry & Neurology | 11175 Campus Street, Cp 11108, Loma Linda, CA 92354 | 2006-06-22 |
1407891658 | Eugene Pak | Psychiatry & Neurology | 11406 Loma Linda Dr Ste 516, Loma Linda, CA 92354-3711 | 2006-06-19 |
1316328677 | Charles Casassa | Psychiatry & Neurology | 11370 Anderson St Ste B-100, Loma Linda, CA 92354-3450 | 2015-06-12 |
1922485978 | Jared Yee | Psychiatry & Neurology | 11201 Benton St, Dept of Neurology, Loma Linda, CA 92357-1000 | 2015-04-29 |
1053730192 | Shauna Chi-yee Cheung | Psychiatry & Neurology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2014-04-15 |
1427477629 | Brian Cravanas II | Psychiatry & Neurology | 11370 Anderson St Ste B-100, Loma Linda, CA 92354 | 2014-04-15 |
Find all providers in LOMA LINDA |
City | LOMA LINDA |
Zip Code | 92354 |
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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.