Individual provider Active NPI

Eric L Fugier, D.D.S., D.S.O., N.O.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1275797631
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37082 Issued in CA
Practice address
9201 W Sunset Blvd.
Suite 901
Los Angeles, CA 90069
Phone
(310) 859-1575
Fax
(310) 859-1017
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30382 CA
Dentist 122300000X 37082 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd.
Suite 901
Los Angeles, CA 90069

Mailing address

9201 W Sunset Blvd.
Suite 901
Los Angeles, CA 90069
Phone (310) 859-1575

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37082CAMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1275797631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD.",
            "address_2": "SUITE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-859-1575",
            "fax_number": "310-859-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD.",
            "address_2": "SUITE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-859-1575",
            "fax_number": "310-859-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGIER",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S., D.S.O., N.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30382",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37082",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 2, 2021; 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.