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DAVID M. O. FRIBOURG MD
NPI 1679644611
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Los Angeles, CA

Active since November 13, 2006PECOS Enrolled
4733 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-4011 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David M. O. Fribourg Md NPPES

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

DAVID M. O. FRIBOURG MD (NPI 1679644611) is an individual orthopaedic surgery of the spine provider in Los Angeles, California, licensed in California (A67953) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679644611
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDAVID M. O. FRIBOURGCredential: MD
Location Address4733 W SUNSET BLVDLos Angeles, CA 90027-6021
Mailing Address4733 W Sunset BlvdLos Angeles, CA 90027-6021 · (323) 783-4011
Phone(323) 783-4011
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateNovember 22, 2021
✔ NPI 1679644611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in CA · A67953
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
4733 W SUNSET BLVD, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David M. O. Fribourg 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.

Medicare Billing Reassignment

Medicare enrollment records show David Fribourg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

YUH-JER SHEN MD
Internal Medicine (Cardiovascular Disease)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
ADRIAN D. MIREA MD
Psychiatry & Neurology (Psychiatry)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
TERRE J WATSON OD
Optometrist
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
BRUNO J. LEWIN MD
Family Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
MICHAEL S. FAN MD
Internal Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
ARNOLD BARRON MD
Ophthalmology
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
NAITIVICTOR L ONG PA
Physician Assistant
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
CYNTHIA L PLEHN CRNA
Nurse Anesthetist, Certified Registered
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011

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 David Fribourg's NPI number?

The NPI number for David Fribourg is 1679644611. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is David Fribourg located?

David Fribourg practices at 4733 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-4011.

What is David Fribourg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is David Fribourg enrolled in Medicare?

Yes. David Fribourg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Fribourg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Fribourg reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Fribourg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Fribourg was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.