NPIMap

Organization Active NPI

Ersno Eromo, MD Inc

Doing business as Concierge Healthcare Partners

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1750842076
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ERSNO EROMO, MD INC
Doing business as
Concierge Healthcare Partners
Practice address
1400 S Grand Ave Ste 707
Los Angeles, CA 90015-2881
Phone
(310) 929-6336
Fax
(877) 797-3623
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Dr. Ersno Eromo, MDNPI 1548498454
Title
Ceo/President
Phone
(310) 704-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1400 S Grand Ave Ste 707
Los Angeles, CA 90015-2881

Mailing address

8447 Wilshire Blvd Ste 204
Beverly Hills, CA 90211-3207
Phone (310) 704-9880

Other identifiers 1

IdentifierTypeStateIssuer
03375844MedicaidNY

Other names 1

  • Concierge Healthcare Partners Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191212000811 CA Part B Supplier - Clinic/Group Practice 4789918442 Receives reassigned benefits from 7 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8447 Wilshire Blvd
Ste 204
Beverly Hills, CA 90211
Phone (310) 751-5754

8436 W 3rd St
Los Angeles, CA 90048
Phone (232) 930-1040

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1750842076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8447 WILSHIRE BLVD STE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113207",
            "telephone_number": "310-704-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE STE 707",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152881",
            "telephone_number": "310-929-6336",
            "fax_number": "877-797-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERSNO EROMO, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-08-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "EROMO",
        "authorized_official_first_name": "ERSNO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-704-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03375844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Healthcare Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Healthcare Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 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.