Organization Active NPI

Logan J. Frahm

  • Chiropractor
  • Watsonville, CA
National Provider Identifier
1952887671
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30883 Issued in CA
Legal business name
LOGAN J. FRAHM
Practice address
978 E Lake Ave
Watsonville, CA 95076-3404
Phone
(831) 288-0627
Fax
(831) 851-3289
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Dr. Logan James Frahm, DCNPI 1619231933
Title
Owner
Phone
(831) 288-0627

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-30883 CA Primary

Addresses

Primary practice location

978 E Lake Ave
Watsonville, CA 95076-3404

Mailing address

910 Capitola Ave Apt 11
Capitola, CA 95010-2121
Phone (619) 887-0179

Other names 1

  • Revolution Gym & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

978 E Lake Ave
Watsonville, CA 95076
Phone (831) 288-0627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1952887671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CAPITOLA AVE APT 11",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102121",
            "telephone_number": "619-887-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763404",
            "telephone_number": "831-288-0627",
            "fax_number": "831-851-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN J. FRAHM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "FRAHM",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-288-0627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Gym & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.