FRONTIER MEDICAL GROUP INC. (NPI# 1902191125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902191125 |
| Entity Type | Organization |
| Organization Name | FRONTIER MEDICAL GROUP INC. |
| Other Organization Name | FRONTIER MEDICAL GROUP INC. |
| Practice Address |
1016 S Robertson Blvd Los Angeles CA 90035-1505 |
| Practice Telephone | 3106529283 |
| Practice Fax Number | 3106529292 |
| Mailing Telephone | 3106529283 |
| Mailing Fax Number | 3106529292 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Authorized Official Name | DR. DANIEL DRAKE (GENERAL PRACTICE) |
| Authorized Official Telephone | 3106529283 |
| Authorized Official Credential | MD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
A100982 | CA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Frontier Medical Group Inc. | Former Legal Business Name - Organization |
| Street Address |
1016 S ROBERTSON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90035-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750357182 | Kourosh Noormand | Anesthesiology | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2006-02-25 |
| 1780924779 | Elina Adibi | Chiropractor | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2013-02-27 |
| 1285847681 | Daniel Drake | Internal Medicine | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2007-05-08 |
| 1659394633 | Daniel Radnia | General Practice | 1016 S Robertson Blvd, 101, Los Angeles, CA 90035-1505 | 2006-07-25 |
| 1336183110 | Alfred A Derakhshesh | Chiropractor | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2006-06-15 |
| 1598726531 | Shalom Pain Treatment Medical Center Inc | Anesthesiology | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1962061945 | Alcott Center for Mental Health Services | Community/Behavioral Health | 1441-1443 S. Robertson Blvd., Los Angeles, CA 90035 | 2019-06-12 |
| 1124514773 | Bahareh Haykani | Physician Assistant | 1105 S La Peer Dr, Los Angeles, CA 90035 | 2018-07-06 |
| 1700303609 | Jisun Lee | Specialist/Technologist | 1080 S. La Cienega Blvd, #208, Los Angeles, CA 90035 | 2017-08-23 |
| 1407202393 | Elham Azarmiazam | Chiropractor | 1016 South Robertson Blvd., Los Angeles, CA 90035 | 2016-05-10 |
| 1548626369 | Esther Levy-bremer | Acupuncturist | 1411 S. Cardiff Ave., Ca 90035, Los Angeles, CA 90035 | 2016-01-08 |
| 1972992949 | Tali Shams | Pharmacist | 1108 South Lapeer Drive, Los Angeles, CA 90035 | 2015-01-14 |
| 1932598067 | Edwin Gromis | Orthopaedic Surgery | 1122 South Robertson Blvd., Los Angeles, CA 90035 | 2015-01-13 |
| 1437568250 | Edwin Gromis M.d. A Prof Corp | Orthopaedic Surgery | 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 | 2014-08-06 |
| 1073929725 | David Javdon | Dentist | 1125 S. Beverly Dr., Suite #400, Los Angeles, CA 90035 | 2014-07-02 |
| Find all providers in zip 90035 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1467960690 | Jonathan Tavakoli | Podiatrist | 11932 Goshen Ave Ph 1, Los Angeles, CA 90049-7309 | 2018-01-22 |
| 1356899231 | Tehrani Foot and Ankle, Inc. | Podiatrist | 2514 S Central Ave, Los Angeles, CA 90011-1635 | 2016-09-20 |
| 1316301807 | Lucas Hultman | Podiatrist | 100 Ucla Medical Plaza Suite 460, Los Angeles, CA 90095 | 2016-04-11 |
| 1164887048 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 5230 Pacific Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2015-12-21 |
| 1447670955 | New Hope Podiatry Group Inc. | Podiatrist | 3612 1/2 E. First Street, Los Angeles, CA 90063-2326 | 2014-04-23 |
| 1275974487 | Anthony Cannizzaro | Podiatrist | 3158 Federal Ave, Los Angeles, CA 90066-1225 | 2013-07-16 |
| 1235576968 | Jim Kasha | Podiatrist | 3016 Waverly Dr, Suite 308, Los Angeles, CA 90039-2052 | 2013-06-04 |
| 1285993451 | Benjamin Tehrani | Podiatrist | 2514 S. Central Avenue, Los Angeles, CA 90011 | 2012-05-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90035 |
Please comment or provide details below to improve the information on FRONTIER MEDICAL GROUP INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.