Individual provider Active NPI

Abraham Hershel Grosswasser, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1326487844
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31573 Issued in CA
Practice address
2001 S Barrington Ave
Suite 101
Los Angeles, CA 90025-5363
Phone
(310) 575-5575
NPI assigned
Jun 18, 2013
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31573 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave
Suite 101
Los Angeles, CA 90025-5363

Mailing address

4532 Murietta Ave Apt 305
Sherman Oaks, CA 91423-5434
Phone (314) 546-1961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000721 CA Practitioner - Chiropractic 1658308333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulevard Medical Group IncGroup PAC ID 6507847266, 2 clinicians

Practice addresses (Care Compare)

11239 Ventura Blvd
Suite 213
Studio City, CA 91604-3167
Phone (818) 505-0152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31573CAMDChiropractor
2782MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulevard Medical Group, Inc. CurrentSince Feb 19, 2019 Accepting new patients
Family Chiropractic Center Past Accepting new patients
La Health & Wellness Medical Group PastSince Feb 19, 2019 Accepting new patients

Locations

11239 Ventura Blvd
Ste 213
Studio City, CA 91604
Phone (818) 505-0152

Organizations & group practices 3

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1326487844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 MURIETTA AVE APT 305",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235434",
            "telephone_number": "314-546-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-575-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSWASSER",
        "first_name": "ABRAHAM",
        "middle_name": "HERSHEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31573",
            "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 Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.