LIFESPAN MEDICINE (NPI# 1669924148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669924148 |
| Entity Type | Organization |
| Organization Name | LIFESPAN MEDICINE |
| Practice Address |
2811 Wilshire Blvd Ste 610 Santa Monica CA 90403-4814 |
| Practice Telephone | 3104532335 |
| Mailing Telephone | 3104532335 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Authorized Official Name | RACHAEL BUECHLER (COO) |
| Authorized Official Telephone | 3104532335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043536592 | Lifespan Medicine | General Practice | 2811 Wilshire Blvd, Suite 610, Santa Monica, CA 90403 | 2010-04-08 |
| 1417271750 | Lifespan Medicine | Family Medicine | 2811 Wilshire Blvd, Suite 610, Santa Monica, CA 90403-4803 | 2010-03-16 |
| Street Address |
2811 WILSHIRE BLVD STE 610 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588072565 | Nicole Kuhl Visnic | Nutritionist | 2811 Wilshire Blvd Ste 610, Santa Monica, CA 90403-4814 | 2014-07-23 |
| 1225546708 | Rachel E Swanson | Dietitian, Registered | 2811 Wilshire Blvd Ste 610, Santa Monica, CA 90403-4814 | 2018-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710508585 | Toxicity Assessors Global of Pennsylvania LLC | Point of Service | 1430 5th St Apt 505, Santa Monica, CA 90401-4421 | 2020-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
| 1710525092 | Rex Ross Bennett Jr. | Point of Service | 22687 E Cliff Dr, Santa Cruz, CA 95062-5357 | 2019-12-17 |
| 1508401985 | Live Leveled Family Therapy, Inc | Point of Service | 809 Quarry Rd Apt B, San Francisco, CA 94129-1150 | 2019-11-09 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1629622063 | Rose Woo Psychologists Inc | Point of Service | 16 S Oakland Ave Ste 214, Pasadena, CA 91101-2042 | 2019-07-24 |
| 1770136426 | Hmk Medical Transportation | Point of Service | 267 Aldama Ave, Pomona, CA 91767-1749 | 2019-07-22 |
| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
| 1508362690 | Hospice Pbm Inc | Point of Service | 3000 N Hollywood Way Fl 2, Burbank, CA 91505-1026 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on LIFESPAN MEDICINE.
| 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.