DR. LARRY ALLAN FREEMAN (NPI# 1871629568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871629568 |
| Entity Type | Individual |
| Full Name | DR. LARRY ALLAN FREEMAN |
| Credential | M.D. |
| Practice Address |
4161 El Camino Way Ste A Palo Alto CA 94306-4084 |
| Practice Telephone | 6504932022 |
| Practice Fax Number | 6504936022 |
| Mailing Telephone | 6504932022 |
| Mailing Fax Number | 6504936022 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | A25347 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | A25347 | CA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A25347 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A25347 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA MEDICAL LICENSE # | A25347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598937120 | Larry M Freeman | Private Vehicle | 2455 Butte St, Pocatello, ID 83201-1842 | 2008-03-24 |
| 1144650516 | Larry Steven Freeman Jr. | Radiologic Technologist | James H. Quillen Va Medical Center, Mountain Home, TN 37684 | 2013-11-20 |
| 1336441526 | Larry Thomas Freeman | Social Worker | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2010-11-22 |
| 1578758173 | Larry Wayne Freeman | Counselor | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-09-07 |
| 1104902014 | Larry Earl Freeman Sr. | Dentist | 5934 Broadway, Affordable Dental, Galveston, TX 77551 | 2006-10-31 |
| 1609956564 | Larry S Freeman | Psychiatry & Neurology | 119 N Commercial St, Suite 1360, Bellingham, WA 98225-4446 | 2006-10-16 |
| 1275511396 | Larry Wayne Freeman | Ophthalmology | 10861 Cherry St, #204, Los Alamitos, CA 90720-5402 | 2006-01-09 |
| Street Address |
4161 EL CAMINO WAY STE A |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134637861 | Hongmei Zhao | Family Medicine | 1130 Welch Rd Apt 321, Palo Alto, CA 94304-1920 | 2018-01-16 |
| 1598161820 | Bruce David Feldstein | Family Medicine | 2891 Greer Rd, Palo Alto, CA 94303-3830 | 2014-11-13 |
| 1598105348 | Tamara Kailoa Montacute | Family Medicine | 211 Quarry Rd Ste 405, Mc 5985, Stanford Family Medicine, Palo Alto, CA 94304 | 2013-06-25 |
| 1609212042 | Benjamin H Laniakea | Family Medicine | 1804 Embarcadero Road, Suite 100, Palo Alto, CA 94303-3318 | 2013-05-13 |
| 1912263500 | Amanda P Guzman | Family Medicine | 1501 Page Mill Rd Bldg 6, Palo Alto, CA 94304-1126 | 2012-04-08 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1578605523 | Erika Schillinger | Family Medicine | 211 Quarry Rd # N329, Stanford University Medical Center- Family Medicine, Palo Alto, CA 94304-1416 | 2007-02-13 |
| 1568515112 | Benjamin Richard Brown | Family Medicine | 211 Quarry Rd Ste 102, Palo Alto, CA 94304-1416 | 2007-01-18 |
| 1720168099 | Sang-ick Chang | Family Medicine | 1265 Welch Road, Room 330, Palo Alto, CA 94305-5411 | 2006-10-17 |
| 1699889774 | Suzanne Soriano | Family Medicine | 49 Wells Ave, Palo Alto, CA 94301-2313 | 2006-08-18 |
| Find all providers in PALO ALTO | ||||
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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.