FREDERICK WOLFE M.D. NPI 1255383451

NPI Information

NPI: 1255383451
Provider Name: FREDERICK WOLFE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
15243 VANOWEN ST
VAN NUYS, CA
ZIP 91405
Phone: (818) 782-6110
Get Directions

Frederick Wolfe, M.D. is a diagnostic radiology radiology in Van Nuys, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Frederick Wolfe, M.D. NPI is 1255383451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15243 VANOWEN ST
VAN NUYS, CA
ZIP 91405-605
Phone: (818) 782-6110

The NPI 1255383451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	G18966	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	WG18966M	MEDICARE ID-TYPE UNSPECIFIED
2	WG18966L	MEDICARE PIN
3	WG18966J	MEDICARE PIN
4	WG18966N	MEDICARE PIN
5	WG18966I	MEDICARE ID-TYPE UNSPECIFIED
6	00G189660	MEDICAID	CALIFORNIA
7	WG18966C	MEDICARE PIN
8	A89297	MEDICARE UPIN
9	WG18966B	MEDICARE PIN
10	WG18966E	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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