CENTER FOR MATERNAL FETAL MEDICINE OF SANTA MONICA (NPI# 1619145505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619145505 |
| Entity Type | Organization |
| Organization Name | CENTER FOR MATERNAL FETAL MEDICINE OF SANTA MONICA |
| Practice Address |
530 Wilshire Blvd Suite 202a Santa Monica CA 90401-1421 |
| Practice Telephone | 3103937147 |
| Practice Fax Number | 3104516286 |
| Mailing Telephone | 3103937147 |
| Mailing Fax Number | 3104516286 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-10-24 |
| Authorized Official Name | DR. KEVIN ROSS JUSTUS (PRESIDENT) |
| Authorized Official Telephone | 3103937147 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
A79053 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
530 WILSHIRE BLVD SUITE 202A |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018742 | Susan Dreifus Moscov | Social Worker | 530 Wilshire Blvd, Ste 306, Santa Monica, CA 90401-1421 | 2005-10-25 |
| 1063902013 | Northland Hearing Center Inc | Hearing Aid Equipment | 530 Wilshire Blvd, Santa Monica, CA 90401-1421 | 2018-05-15 |
| 1093156879 | Cast Recovery Services of Santa Monica, Inc | Counselor | 530 Wilshire Blvd, Suite 105, Santa Monica, CA 90401-1421 | 2013-07-09 |
| 1265783054 | Susan Zinn | Counselor | 530 Wilshire Blvd, Suite 310, Santa Monica, CA 90401-1421 | 2012-09-20 |
| 1053628297 | More Than Food, Inc. | Dietitian, Registered | 530 Wilshire Blvd, Suite 310, Santa Monica, CA 90401-1421 | 2010-09-09 |
| 1538474895 | Bonnie Lynn Mass | Psychologist | 530 Wilshire Blvd, Suite 209, Santa Monica, CA 90401-1421 | 2010-08-11 |
| 1861669129 | Karen Nakagawa | Dentist | 530 Wilshire Blvd, Suite 303, Santa Monica, CA 90401-1421 | 2008-05-14 |
| 1679741375 | Janet Zand | Acupuncturist | 530 Wilshire Blvd, 206, Santa Monica, CA 90401-1421 | 2008-02-14 |
| 1023227246 | Lori Rae Steinberg | Marriage & Family Therapist | 530 Wilshire Blvd, Ste 310, Santa Monica, CA 90401 | 2007-05-22 |
| 1548479983 | Rikki Lynne Gordon | Psychologist | 530 Wilshire Blvd, Suite 306, Santa Monica, CA 90401-1421 | 2007-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225437635 | Kareem Tabsh | Obstetrics & Gynecology | 1301 20th St Ste 465, Santa Monica, CA 90404-2090 | 2014-08-21 |
| 1619053790 | Kevin Ross Justus | Obstetrics & Gynecology | 530 Wilshire Blvd, Suite 202a, Santa Monica, CA 90401-1421 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750874 | Dominika Dymarczyk | Obstetrics & Gynecology | 447 Hillcrest Dr, Redwood City, CA 94062-2949 | 2020-11-03 |
| 1710506340 | Delete | Obstetrics & Gynecology | 27008 Pierpont Ct, Santa Clarita, CA 91355-1602 | 2020-04-14 |
| 1386286979 | California Maternal Fetal Medicine Inc | Obstetrics & Gynecology | 1645 Creekside Dr Ste 200, Folsom, CA 95630-3832 | 2019-10-15 |
| 1235697244 | Maternal & Fetal Medicine Center of Southern Calif. Inc | Obstetrics & Gynecology | 17220 Rayen St, Sherwood Forest, CA 91325-2919 | 2019-03-08 |
| 1851892459 | Baychildren's Physicians | Obstetrics & Gynecology | 2970 Camino Diablo Ste 210, Walnut Creek, CA 94597 | 2018-02-28 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1912447137 | Baychildren's Physicians | Obstetrics & Gynecology | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2017-03-07 |
| 1396145116 | Ginni S. Rosenfeld, Md Inc | Obstetrics & Gynecology | 575 E Hardy St Ste 321, Inglewood, CA 90301-4052 | 2014-08-28 |
| 1801236401 | Ilina Datkhaeva Pluym | Obstetrics & Gynecology | 200 Medical Plaza Dr, Los Angeles, CA 90095-2401 | 2013-06-27 |
| 1003196692 | Los Angeles Perinatal Associates | Obstetrics & Gynecology | 529 E 10th St, 2nd Floor, Long Beach, CA 90813-4508 | 2011-08-26 |
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| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on CENTER FOR MATERNAL FETAL MEDICINE OF SANTA MONICA.
| 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.