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BRYAN B FRODERMAN
NPI 1316660053
Counselor - Professional in Los Angeles, CA

Active since September 19, 2022PECOS Enrolled
1200 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90017(213) 481-7464 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan B Froderman NPPES

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

BRYAN B FRODERMAN (NPI 1316660053) is an individual professional provider in Los Angeles, California, licensed in California (APCC12028) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316660053
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRYAN B FRODERMAN
Location Address1200 WILSHIRE BLVD STE 300Los Angeles, CA 90017-1931
Mailing Address1200 Wilshire Blvd Ste 300Los Angeles, CA 90017-1931 · (213) 481-7464
Phone(213) 481-7464
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1316660053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · APCC12028
1200 WILSHIRE BLVD STE 300, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan B Froderman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002306362
PECOS Enrollment IDI20251105002294
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.

GLADYS MENDEZ-SAUZA
Marriage & Family Therapist
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
EUIBIN JEE
Marriage & Family Therapist
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 670-3381
DELFINO ESPINOZA
Marriage & Family Therapist
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 819-2234
CYNTHIA GODINA ASW
Social Worker (Clinical)
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 407-4332
KIMBERLY SAMANTHA MEDINA
Social Worker (Clinical)
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
SONIA CHAGOLLA MS
Rehabilitation Practitioner
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
GABRIELA LICEA
Case Manager/Care Coordinator
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
AMY PEDROZA
Social Worker (Clinical)
1200 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464

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 Bryan Froderman's NPI number?

The NPI number for Bryan Froderman is 1316660053. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Bryan Froderman located?

Bryan Froderman practices at 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017. The listed phone number is (213) 481-7464.

What is Bryan Froderman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bryan Froderman enrolled in Medicare?

Yes. Bryan Froderman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Froderman was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.