Active NPI
Jeremy Shimon Fischer, ND, LAC
- Naturopath
- Playa del Rey, CA
National Provider Identifier
1710320676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-570
- Practice address
- 7314 Vista del Mar LN
Playa del Rey, CA 90293-7653 - Phone
- (424) 278-4325
- NPI assigned
- Apr 10, 2013
- Last updated
- Jun 21, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | NU | ||
| Naturopath | 175F00000X | ND-570 | CA | Primary |
Addresses
Primary practice location
7314 Vista del Mar LN
Playa del Rey, CA 90293-7653
Mailing address
7314 Vista del Mar LN
Playa del Rey, CA 90293-7653
Phone (424) 278-4325
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND-570 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeremy Fischer | Acupuncturist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vitality Integrative Medicine
- Naturopath
- Los Angeles, CA
- NPI 1871913442
Acupuncturist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434844800000",
"number": "1710320676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7314 VISTA DEL MAR LN",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937653",
"telephone_number": "424-278-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7314 VISTA DEL MAR LN",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937653",
"telephone_number": "424-278-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "JEREMY",
"middle_name": "SHIMON",
"name_prefix": "Dr.",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2015-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Playa del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.