LOGAN J. FRAHM (NPI# 1952887671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952887671 |
| Entity Type | Organization |
| Organization Name | LOGAN J. FRAHM |
| Other Organization Name | REVOLUTION GYM & WELLNESS |
| Practice Address |
978 E Lake Ave Watsonville CA 95076-3404 |
| Mailing Address |
910 Capitola Ave Apt 11 Capitola CA 95010-2121 |
| Practice Telephone | 8312880627 |
| Practice Fax Number | 8318513289 |
| Mailing Telephone | 6198870179 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | DR. LOGAN JAMES FRAHM (OWNER) |
| Authorized Official Telephone | 8312880627 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC-30883 | CA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Revolution Gym & Wellness | Doing Business As Name - Organization |
| Street Address |
978 E LAKE AVE |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619231933 | Logan James Frahm | Chiropractor | 978 E Lake Ave, Watsonville, CA 95076 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437564937 | Tommy Morales Rodriguez Jr. | Chiropractor | 139 E. Lake Ave., Watsonville, CA 95076 | 2014-06-24 |
| 1619231933 | Logan James Frahm | Chiropractor | 978 E Lake Ave, Watsonville, CA 95076 | 2012-07-02 |
| 1205038312 | Abraham Arthur Cordova | Chiropractor | 77 Aspen Way, Suite 103, Watsonville, CA 95076-6040 | 2007-06-01 |
| 1871715938 | David William Christie | Chiropractor | 284 Pennsylvania Dr, Suite #1, Watsonville, CA 95076-3768 | 2007-05-02 |
| 1013136399 | Carl Williams | Chiropractor | 1978 Main St, Watsonville, CA 95076-3066 | 2007-04-24 |
| 1427172352 | Robert Jaramillo | Chiropractor | 24 Bright View Ln, Watsonville, CA 95076-6201 | 2007-03-17 |
| 1679674824 | Charles C Strong | Chiropractor | 139 East Lake Ave, Watsonville, CA 95076 | 2006-09-26 |
| 1952415986 | Carol Woo | Chiropractor | 734 E Lake Ave Ste 5, Watsonville, CA 95076-3567 | 2006-08-18 |
| 1841235751 | Richard Charles Nohrden | Chiropractor | 390 S Green Valley Rd, Suite 4, Watsonville, CA 95076-3077 | 2006-06-17 |
| 1215315080 | Alpana Gowda Inc | Chiropractor | 850 Freedom Blvd, Watsonville, CA 95076-3814 | 2015-05-13 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on LOGAN J. FRAHM.
| 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.