Individual provider Active NPI

Daniel Frochtzwajg, D.O.

  • Family Medicine Physician
  • Marina del Rey, CA
National Provider Identifier
1679923742
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19174 Issued in CA
Practice address
4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Phone
(310) 827-3700
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A19174 CA Primary

Addresses

Primary practice location

4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

6000 Sepulveda Blvd Ste E10
Culver City, CA 90230-6421
Phone (310) 313-0020

Other practice location 2

10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593
Phone (310) 286-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228000113 CA Practitioner - Family Practice 1456742519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, 1,426 clinicians

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

23815 Stuart Ranch Rd
Malibu, CA 90265-4861

6344 Topanga Canyon Blvd
Suite 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292

Hospital & facility affiliations

  • Intra Care Home Health SFV Inc. Home health agency, Calabasas, CA, CCN 058055
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A19174CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Jan 1, 2022 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

26585 Agoura Rd
Ste 330
Calabasas, CA 91302
Phone (818) 461-3321

6000 Sepulveda Blvd
Ste E10
Culver City, CA 90230
Phone (310) 313-0020

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122

File 55737
Los Angeles, CA 90074

335 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 634-3850

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

23815 Stuart Ranch Rd
#300
Malibu, CA 90265
Phone (310) 456-1668

23815 Stuart Ranch Rd
#301
Malibu, CA 90265

4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: dfrochtzwajg967490@direct.uclahealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1679923742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 100",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925424",
            "telephone_number": "310-827-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Sepulveda Blvd Ste E10",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306421",
            "country_code": "US",
            "telephone_number": "310-313-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10250 Santa Monica Blvd Ste 2440",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900676593",
            "country_code": "US",
            "telephone_number": "310-286-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROCHTZWAJG",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.