Organization Active NPI

Ersno Eromo MD, Inc.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1174084818
Registry record updated May 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ERSNO EROMO MD, INC.
Practice address
1513 S Grand Ave
Los Angeles, CA 90015-3070
Phone
(310) 704-9880
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2023

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

Authorized official

Name
Dr. Ersno Eromo, MD
Title
Ceo
Phone
(310) 704-9880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1513 S Grand Ave
Los Angeles, CA 90015-3070

Mailing address

8447 Wilshire Blvd Ste 204
Beverly Hills, CA 90211-3207
Phone (310) 929-6336

Other identifiers 1

IdentifierTypeStateIssuer
03375844MedicaidNY

Other names 1

  • Concierge Healthcare Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concierge Healthcare Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685232000000",
    "number": "1174084818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8447 WILSHIRE BLVD STE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113207",
            "telephone_number": "310-929-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153070",
            "telephone_number": "310-704-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERSNO EROMO MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-05-28",
        "certification_date": "2023-05-28",
        "status": "A",
        "authorized_official_last_name": "EROMO",
        "authorized_official_first_name": "ERSNO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-704-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03375844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Healthcare Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Healthcare Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.