Active NPI
Renee Fine Bogomolny, D.C.
- Chiropractor
- Santa Monica, CA
National Provider Identifier
1891181673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33231
- Practice address
- 2812 Santa Monica Blvd
Suite 208
Santa Monica, CA 90404-2476 - Phone
- (310) 488-7277
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 33231 | CA | Primary |
Addresses
Primary practice location
2812 Santa Monica Blvd
Suite 208
Santa Monica, CA 90404-2476
Mailing address
4624 Maleza PL
Tarzana, CA 91356-4721
Phone (310) 844-5502
Other names 1
- Renee Jane Fine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150523000015 | CA | Practitioner - Chiropractic | 0244550390 | Practice locations: Santa Monica, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2812 Santa Monica Blvd
Suite 208
Santa Monica, CA 90404-2432
Phone (310) 844-5502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33231 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Fine Spine Chiropractic, a Bogomolny Corp. | Chiropractor | Current | Accepting new patients |
Locations
2812 Santa Monica Blvd
Ste 208
Santa Monica, CA 90404
Phone (310) 447-1862
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 and National Provider Directory roles.
-
- Chiropractor
- Santa Monica, CA
- NPI 1558922211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1891181673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 MALEZA PL",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564721",
"telephone_number": "310-844-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 SANTA MONICA BLVD",
"address_2": "SUITE 208",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042476",
"telephone_number": "310-488-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGOMOLNY",
"first_name": "RENEE",
"middle_name": "FINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "FINE",
"middle_name": "JANE",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.