Individual provider Active NPI

Eric Bart Fromer, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1306876131
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17684 Issued in CA
Practice address
5123 W Sunset Blvd Ste 202
Los Angeles, CA 90027-5779
Phone
(323) 962-8520
Fax
(323) 962-6832
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17684 CA Primary

Addresses

Primary practice location

5123 W Sunset Blvd Ste 202
Los Angeles, CA 90027-5779

Mailing address

5123 W Sunset Blvd Ste 202
Los Angeles, CA 90027-5779
Phone (323) 962-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000689 CA Practitioner - Chiropractic 5193909919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fromer Chiropractic, Inc. Chiropractor CurrentSince Apr 18, 2023 Accepting new patients

Locations

5123 W Sunset Blvd
Ste 202
Los Angeles, CA 90027
Phone (323) 962-8520

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1306876131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 W SUNSET BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275779",
            "telephone_number": "323-962-8520",
            "fax_number": "323-962-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 W SUNSET BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275779",
            "telephone_number": "323-962-8520",
            "fax_number": "323-962-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMER",
        "first_name": "ERIC",
        "middle_name": "BART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17684",
            "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 Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.