Individual provider Active NPI

Eric Ahlers Schluederberg, D.O.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1871856583
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12994 Issued in CA
Practice address
3727 W 6TH St
Suite 200
Los Angeles, CA 90020-5105
Phone
(213) 235-2500
Fax
(213) 251-8647
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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 20A12994 CA Primary

Addresses

Primary practice location

3727 W 6TH St
Suite 200
Los Angeles, CA 90020-5105

Mailing address

3727 W 6TH St
Suite 200
Los Angeles, CA 90020-5105
Phone (213) 235-2500

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
I20150924002603 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1759699705 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12994CAMDFamily Medicine Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Korean Health, Education, Information and Research Center CurrentSince Aug 15, 2015 Accepting new patients
Korean Health Education Information and Research Center CurrentSince Aug 15, 2015 Accepting new patients
Korean Health Education Information and Research Center PastSince Oct 17, 2021 Accepting new patients
Korean Health, Education, Information and Research Center PastSince Jul 24, 2022 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients

Locations

3255 Wilshire Blvd
Ste 120
Los Angeles, CA 90010
Phone (213) 235-1212

3727 W 6th St
Ste 200
Los Angeles, CA 90020
Phone (213) 235-2500

3255 Wilshire Blvd
Ste 100
Los Angeles, CA 90010
Phone (213) 235-1203

3727 W 6th St
Ste 210
Los Angeles, CA 90020
Phone (213) 235-2500

621 S Virgil Ave
Ste 401
Los Angeles, CA 90005
Phone (213) 235-2500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1871856583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205105",
            "telephone_number": "213-235-2500",
            "fax_number": "213-251-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205105",
            "telephone_number": "213-235-2500",
            "fax_number": "213-251-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUEDERBERG",
        "first_name": "ERIC",
        "middle_name": "AHLERS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.