DR. KEVIN K DRAKE (NPI# 1568472389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568472389 |
| Entity Type | Individual |
| Full Name | DR. KEVIN K DRAKE |
| Credential | M.D. |
| Practice Address |
2428 Santa Monica Blvd Suite Ll Santa Monica CA 90404-2045 |
| Practice Telephone | 3103151000 |
| Practice Fax Number | 3108290348 |
| Mailing Telephone | 3103151000 |
| Mailing Fax Number | 3108290348 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G35245 | CA | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G35245 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285183681 | Kevin Drake | Physician Assistant | 500 W Thomas Rd Ste 500, Phoenix, AZ 85013-4220 | 2016-09-26 |
| 1598810517 | Kevin Criston Drake | Chiropractor | 4415 Excelsior Blvd, Saint Louis Park, MN 55416-4813 | 2007-01-23 |
| 1922015460 | Kevin Matthew Drake | Pharmacist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-01 |
| Street Address |
2428 SANTA MONICA BLVD SUITE LL |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274093 | H. Babaali, M.d. Medical Inc. | Internal Medicine | 2428 Santa Monica Blvd, Ste 402, Santa Monica, CA 90404-2047 | 2005-06-13 |
| 1366914756 | Sanam Fazel | Chiropractor | 2428 Santa Monica Blvd, Santa Monica, CA 90404-2045 | 2018-12-22 |
| 1609121961 | Phyzmed Med Associates | Physical Medicine & Rehabilitation | 2428 Santa Monica Blvd, Ste. 208, Santa Monica, CA 90404-2045 | 2012-07-23 |
| 1760774970 | Suzie Seoyang Kline | Acupuncturist | 2428 Santa Monica Blvd, #208, Santa Monica, CA 90404-2045 | 2011-05-05 |
| 1417189416 | Joseph W Landau M D A Medical Corp | Dermatology | 2428 Santa Monica Blvd, Ste 401, Santa Monica, CA 90404-2047 | 2009-08-10 |
| 1487881363 | Eleanor Klein Axe | Pediatrics | 2428 Santa Monica Blvd, Santa Monica, CA 90404-2045 | 2009-06-17 |
| 1194964171 | H. Babaali, M.d. Medical Inc. | Clinic/Center | 2428 Santa Monica Blvd, Suite 402, Santa Monica, CA 90404-2045 | 2009-02-13 |
| 1053505800 | Lindsay Noelle Whitehead | Chiropractor | 2428 Santa Monica Blvd, Suite 404, Santa Monica, CA 90404-2045 | 2007-09-04 |
| 1093913832 | Suzan K. Vigil | Dentist | 2428 Santa Monica Blvd, #102, Santa Monica, CA 90404-2045 | 2007-07-03 |
| 1689882128 | Rich H. Morris | Chiropractor | 2428 Santa Monica Blvd, Ste 305, Santa Monica, CA 90404-2045 | 2007-05-18 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184987513 | Jeffrey Rappleye | Radiology | 2336 Santa Monica Blvd Ste 206, Santa Monica, CA 90404-2938 | 2012-06-20 |
| 1689953648 | John M Uszler Md A Medical Corporation | Radiology | 1243 Franklin St, Unit 1, Santa Monica, CA 90404 | 2011-08-09 |
| 1710159447 | Jane Dascalos | Radiology | 1245 16th St Ste 100, Santa Monica, CA 90404-1255 | 2008-04-02 |
| 1497942106 | Panayota S Roumanis | Radiology | 1420 5th St Apt 604, Santa Monica, CA 90401-4414 | 2007-09-26 |
| 1184814006 | Andrew Paul Thierry | Radiology | 492 E Channel Rd, Santa Monica, CA 90402-1339 | 2007-07-26 |
| 1750595682 | Farhad Keliddari | Radiology | 837 18th St, Unit 1, Santa Monica, CA 90403-6710 | 2007-05-10 |
| 1124161872 | Lloyd David Wagner | Radiology | 223 24th St, Santa Monica, CA 90402-2515 | 2007-02-14 |
| 1730192063 | Bryan L. Winkler | Radiology | 834 2nd St, Apt. 14, Santa Monica, CA 90403 | 2006-08-15 |
| 1487684379 | Robert Burnham Lufkin | Radiology | 2461 Santa Monica Blvd # 108, Santa Monica, CA 90404-2138 | 2006-07-04 |
| 1518995141 | Edward Zaragoza | Radiology | 1250 16th St # 2340, Santa Monica, CA 90404-1249 | 2006-06-30 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on DR. KEVIN K DRAKE.
| 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.