FIELD TRIP MEDICAL INC. (NPI# 1063023133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063023133 |
| Entity Type | Organization |
| Organization Name | FIELD TRIP MEDICAL INC. |
| Practice Address |
1538 20th St # 200 Santa Monica CA 90404-3408 |
| Practice Telephone | 8332220084 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | DR. RANDALL ALAN SCHARLACH (PRESIDENT & MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8184492700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1538 20TH ST # 200 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919652 | Los Angeles County Department of Mental Health | Clinic/Center | 300 Santa Monica Pier, Santa Monica, CA 90401-3128 | 2016-09-06 |
| 1588041040 | Joan Shaver | Clinic/Center | 2730 Wilshire Blvd Ste 449, Santa Monica, CA 90403-4745 | 2015-05-04 |
| 1033262811 | Ede Ca At Santa Monica, Lp | Clinic/Center | 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405-5225 | 2007-01-18 |
| 1538106455 | Center for Healthy Aging | Clinic/Center | 1527 4th St, Santa Monica, CA 90401-2354 | 2006-05-31 |
| 1851907430 | Adrienne Grashaw | Clinic/Center | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2020-09-19 |
| 1891305520 | The Mindview Inc. | Clinic/Center | 169 Pier Ave Ste 2, Santa Monica, CA 90405-5311 | 2020-08-06 |
| 1366052391 | Bespoke Treatment LLC | Clinic/Center | 3200 Santa Monica Blvd Ste 204, Santa Monica, CA 90404-2639 | 2020-08-04 |
| 1356963912 | Ootify | Clinic/Center | 2716 Ocean Park Blvd Ste 3075, Santa Monica, CA 90405-5232 | 2020-05-17 |
| 1144879149 | Nima Fahimian Md Inc | Clinic/Center | 3200 Santa Monica Blvd, Santa Monica, CA 90404-2637 | 2019-09-11 |
| 1902466782 | Zatori Individual, Marriage and Family Therapy Inc | Clinic/Center | 2730 Wilshire Blvd Ste 650, Santa Monica, CA 90403-4746 | 2019-06-14 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on FIELD TRIP MEDICAL INC..
| 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.