CONRAD FLETCHER MD
NPI 1104529817
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 22, 2023PECOS Enrolled
760 WESTWOOD PLZ STE 37-384, LOS ANGELES, CA 90024(310) 794-6298(424) 377-6712 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Conrad Fletcher Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONRAD FLETCHER MD (NPI 1104529817) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104529817
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONRAD FLETCHERCredential: MD
Location Address760 WESTWOOD PLZ STE 37-384Los Angeles, CA 90024-5055
Mailing Address760 Westwood Plz Ste 37-384Los Angeles, CA 90024-5055 · (310) 794-6298 · Fax (424) 377-6712
Fax(424) 377-6712
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1104529817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

760 WESTWOOD PLZ STE 37-384, Los Angeles, CA 90024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Conrad Fletcher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 37-384
LOS ANGELES, CA 90024
Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 37-384, UCLA PSYCHIATRY HOUSESTAFF OFFICE
LOS ANGELES, CA 90024
Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 37-384
LOS ANGELES, CA 90024
Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 37-384
LOS ANGELES, CA 90024
Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 37-384
LOS ANGELES, CA 90024
Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 37-384
LOS ANGELES, CA 90024
Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 37-384
LOS ANGELES, CA 90024
Student in an Organized Health Care Education/Training Program
760 WESTWOOD PLZ STE 37-384
LOS ANGELES, CA 90024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Fletcher's NPI number?

The NPI number for Conrad Fletcher is 1104529817. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Conrad Fletcher located?

Conrad Fletcher practices at 760 Westwood Plz Ste 37-384, Los Angeles, CA 90024. The listed phone number is (310) 794-6298.

What is Conrad Fletcher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Conrad Fletcher enrolled in Medicare?

Yes. Conrad Fletcher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Conrad Fletcher was last updated on March 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.