Active NPI
Frank C Derratt, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1033289814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15183
- Practice address
- 1990 Westwood Blvd.
Ste #110
Los Angeles, CA 90025 - Phone
- (310) 475-3488
- Fax
- (310) 943-0425
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC15183 | CA | Primary |
Addresses
Primary practice location
1990 Westwood Blvd.
Ste #110
Los Angeles, CA 90025
Mailing address
1990 Westwood Blvd.
Ste #110
Los Angeles, CA 90025
Phone (310) 475-3488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC15183 | Other | CA | DC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC15183 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott J. Fox, D.C. ,California Chiropractic Corp. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- West Los Angeles, CA
- NPI 1568680627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1033289814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 WESTWOOD BLVD.",
"address_2": "STE #110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "310-475-3488",
"fax_number": "310-475-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 WESTWOOD BLVD.",
"address_2": "STE #110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "310-475-3488",
"fax_number": "310-943-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRATT",
"first_name": "FRANK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC15183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC LICENSE",
"identifier": "DC15183",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.