UC REGENTS UCLA DMPG SANTA MONICA CARDIOLOGY (NPI# 1063479038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063479038 |
| Entity Type | Organization |
| Organization Name | UC REGENTS UCLA DMPG SANTA MONICA CARDIOLOGY |
| Practice Address |
1245 16th St Suite 307 Santa Monica CA 90404-1235 |
| Mailing Address |
Po Box 24dd5 Westwood Station Los Angeles CA 90024 |
| Practice Telephone | 3107947350 |
| Mailing Telephone | 3103018708 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT K OYE (VICE CHAIR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 3102060644 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
Allopathic & Osteopathic Physicians | ||
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| X | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| X | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1245 16TH ST SUITE 307 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588907893 | Michelle Tricia Panlilio | Nurse Practitioner | 1245 16th St, #206, Santa Monica, CA 90404-1235 | 2013-04-04 |
| 1346598133 | Jessica M Bernacki | Psychologist | 1245 16th St, Suite 125, Santa Monica, CA 90404-1235 | 2012-08-27 |
| 1376816355 | Stephanie Shulenberger | Marriage & Family Therapist | 1245 16th St, Suite 210, Santa Monica, CA 90404-1235 | 2012-02-21 |
| 1952605347 | Jennifer Barnato | Nurse Practitioner | 1245 16th St, Suite 305, Santa Monica, CA 90404-1235 | 2010-12-29 |
| 1982921276 | Brianne Dela Rama Romeroso | Obstetrics & Gynecology | 1245 16th St, 202, Santa Monica, CA 90404-1235 | 2010-04-26 |
| 1083931521 | Alexander Chiang | Obstetrics & Gynecology | 1245 16th St, 202, Santa Monica, CA 90404-1235 | 2010-04-23 |
| 1245477652 | Yung-shee Jessica Hsu | Obstetrics & Gynecology | 1245 16th St, 202, Santa Monica, CA 90404-1235 | 2009-01-07 |
| 1447495411 | Michelle Fabiola Rios | Internal Medicine | 1245 16th St, Suite 125, Santa Monica, CA 90404-1235 | 2008-12-04 |
| 1407008907 | Amy Marie Stoddard | Obstetrics & Gynecology | 1245 16th St, 202, Santa Monica, CA 90404-1235 | 2008-10-15 |
| 1124285424 | Hong-phuc Thi Tran | Family Medicine | 1245 16th St, Suite 204, Santa Monica, CA 90404-1235 | 2008-05-22 |
| Find all providers in the same location | ||||
| 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 | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144317629 | Gilbert J. Kuhn Jr. | Internal Medicine | 1301 20th St, Suite 360, Santa Monica, CA 90404-2050 | 2006-10-06 |
| 1750478160 | Respiratory Consultants of Santa Monica | Internal Medicine | 1301 20th St, Suite 360, Santa Monica, CA 90404-2050 | 2006-10-06 |
| 1184675001 | Helen Mawhinney | Internal Medicine | 1245 16th St, Suite 309, Santa Monica, CA 90404-1235 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309341 | Kianoush Shakib Md Inc | Internal Medicine | 11661 San Vicente Blvd Ste 101, Los Angeles, CA 90049-5150 | 2019-01-10 |
| 1629510235 | Lawrence Awai | Internal Medicine | 4776 Stetson Rd, Clovis, CA 93619-9555 | 2016-11-14 |
| 1619363314 | Aminaa Siddiqi | Internal Medicine | 2440 W Covell Blvd Ste 104, Davis, CA 95616-5671 | 2015-04-09 |
| 1881082683 | Ricardo Antonio Tan Md Inc. | Internal Medicine | 5219 Cedros Ave, Sherman Oaks, CA 91411-4016 | 2014-12-31 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| 1609202274 | George Richard Barr | Internal Medicine | 225 Crossroads Blvd # 381, Carmel, CA 93923-8674 | 2013-09-16 |
| 1184069692 | Tyler Basen | Internal Medicine | 26691 Plaza Ste 170, Mission Viejo, CA 92691-6396 | 2013-05-10 |
| 1528403797 | Warner C. Greene | Internal Medicine | 1650 Owens St, San Francisco, CA 94158-2261 | 2013-05-01 |
| 1407153000 | Howard Eric Strom | Internal Medicine | 3411 La Falda Pl, Los Angeles, CA 90068-1509 | 2011-02-16 |
| 1598893794 | Rakesh Jindal M.d. Inc | Internal Medicine | 462 W Putnam Ave, Porterville, CA 93257-3321 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on UC REGENTS UCLA DMPG SANTA MONICA CARDIOLOGY.
| 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.