TRAVIS FOGEL (PHD) – Clinical Neuropsychologist, NPI 1790718518

TRAVIS FOGEL (PHD) is a healthcare provider. based in Los angeles, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PSY17746 (CA). The NPI Number for TRAVIS FOGEL (PHD) is 1790718518

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS FOGEL (PHD)
NPI
1790718518
Phone
(909) 558-3111
Address
54701 FILE NUMBER
Enumeration Date
7 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095586277
Graduation Year
1999 (27 years ago)
PAC ID
2668505371
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20100802000761
Address ID
CA923543711LO11406DRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for TRAVIS FOGEL (PHD)

  • 54701 FILE NUMBER

    LOS ANGELES, CA 900744701

    Phone: (909) 558-3111

    Fax: (909) 558-3905

    Type: Mailing

  • 11406, Loma Linda Drive, Loma Linda, San Bernardino County, California, 92354, United States

    LOMA LINDA, CA 923543711

    Phone: (909) 558-6144

    Fax: (909) 558-3905

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100802000761IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes6111$0
96133Evaluation of neuropsychological test, each additional hour4411$0
96116Exam of neurobehavioral status, first hour2221$0
96121Exam of neurobehavioral status, each additional hour2221$0
96132Evaluation of neuropsychological test, first hour1211$0
View full utilization report →

Insurance plans in this area (ZIP 90074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153227814View full group profile

Reviews

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Frequently asked questions

Does TRAVIS FOGEL (PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TRAVIS FOGEL (PHD) uses 1790718518.
Can I rely on TRAVIS FOGEL (PHD) being an active provider?
As of the registry snapshot, TRAVIS FOGEL (PHD) is marked active.
What healthcare role does TRAVIS FOGEL (PHD) hold?
Scheduling teams often label TRAVIS FOGEL (PHD) under Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Does TRAVIS FOGEL (PHD) list a practice location?
Patients near Los Angeles, California may find TRAVIS FOGEL (PHD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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