MARSHALL BUCKLEY FRYMAN M.A.
NPI 1366081895
Counselor - Professional in Fontana, CA
About Marshall Buckley Fryman M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARSHALL BUCKLEY FRYMAN M.A. (NPI 1366081895) is an individual professional provider in Fontana, California, licensed in California (17226) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marshall Buckley Fryman M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Marshall Fryman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 clinicians in this Medicare group
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FONTANA, CA 92335
FONTANA, CA 92335
FONTANA, CA 92335
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marshall Fryman's NPI number?
The NPI number for Marshall Fryman is 1366081895. It was assigned to this individual provider in the NPPES registry on January 1, 2020.
Where is Marshall Fryman located?
Marshall Fryman practices at 15217 San Bernardino Ave, Fontana, CA 92335. The listed phone number is (951) 643-2150.
What is Marshall Fryman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Marshall Fryman enrolled in Medicare?
Yes. Marshall Fryman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Marshall Fryman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marshall Fryman reassigns Medicare benefits to 2 organizations: Cyti Health PC (San Diego, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marshall Fryman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marshall Fryman was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marshall Buckley Fryman, M.A. · NPI 1366081895
Professional provider in Fontana, California. Individual provider, active in the CMS NPPES registry since January 1, 2020.
## Identity
- **NPI:** 1366081895 (Entity type: Individual)
- **Enumerated:** January 1, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 17226 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15217 SAN BERNARDINO AVE, Fontana, CA 92335-5327
- **Phone:** (951) 643-2150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cyti Health PC (NPI 1679172290, San Diego, CA); Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366081895) · Data from the CMS NPPES public registry.