Active NPI
Glenn Fischel, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1346262623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14032
- Practice address
- 11545 W Olympic Blvd # a
Los Angeles, CA 90064-1508 - Phone
- (310) 477-4531
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14032 | CA | Primary |
Addresses
Primary practice location
11545 W Olympic Blvd # a
Los Angeles, CA 90064-1508
Mailing address
11545 W Olympic Blvd # a
Los Angeles, CA 90064-1508
Phone (310) 477-4531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117001183 | CA | Practitioner - Chiropractic | 5799970687 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346262623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11545 W OLYMPIC BLVD # A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641508",
"telephone_number": "310-477-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11545 W OLYMPIC BLVD # A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641508",
"telephone_number": "310-477-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHEL",
"first_name": "GLENN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14032",
"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 8, 2007; 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.