Individual provider Active NPI

Frederick Richard Eilber, MD

  • Surgical Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1154346724
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
C35113 Issued in CA
Practice address
10833 Le Conte Ave
Room 54140 CHS
Los Angeles, CA 90095
Phone
(310) 825-7086
Fax
(310) 825-7575
NPI assigned
Jul 13, 2006
Last updated
Feb 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X C35113 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
Room 54140 CHS
Los Angeles, CA 90095

Mailing address

PO Box 512025
Dept Ac6
Los Angeles, CA 90051
Phone (310) 825-7086

Other identifiers 1

IdentifierTypeStateIssuer
00C351130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000632 CA Practitioner - Surgical Oncology 2961689724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C35113CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jse Surgical Oncology Associates a Professional Medical Corporation Surgical Oncology CurrentSince Jun 13, 1986 Accepting new patients
UCLA Medical Group Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Regents of the University of California PastSince Sep 6, 2020 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

10833 Le Conte Ave
Rm 54140
Los Angeles, CA 90095
Phone (310) 825-2644

200 UCLA Medical Plz
Ste 120
Los Angeles, CA 90095
Phone (310) 206-6909

200 UCLA Medical Plz
Ste B265
Los Angeles, CA 90095
Phone (310) 267-9099

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1154346724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512025",
            "address_2": "DEPT AC6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90051",
            "telephone_number": "310-825-7086",
            "fax_number": "310-825-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "ROOM 54140 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-7086",
            "fax_number": "310-825-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILBER",
        "first_name": "FREDERICK",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "C35113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C351130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.