SANTA MONICA BAY AREA PHYSICIANS (NPI# 1730121500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730121500 |
| Entity Type | Organization |
| Organization Name | SANTA MONICA BAY AREA PHYSICIANS |
| Other Organization Name | SANTA MONICA BAY PHYSICIANS |
| Practice Address |
881 Alma Real Dr 214 Pacific Palisades CA 90272-3731 |
| Mailing Address |
6029 Bristol Pkwy 100 Culver City CA 90230-6643 |
| Practice Telephone | 3104592363 |
| Practice Fax Number | 3104591563 |
| Mailing Telephone | 3104175901 |
| Mailing Fax Number | 3104101001 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | DR. BERNARD J KATZ (CO CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3104175900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SANTA MONICA BAY AREA PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE LOCATION PTAN | W14560D | 01 |
| Other Name | Type Code |
|---|---|
| santa monica bay physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770608432 | Santa Monica Bay Area Physicians | Family Medicine | 6029 Bristol Pkwy Ste 100, Culver City, CA 90230-4899 | 2007-03-20 |
| 1801831490 | Santa Monica Bay Area Physicians | Clinic/Center | 524 Colorado Ave, Santa Monica, CA 90401-2436 | 2006-06-18 |
| 1225073943 | Santa Monica Bay Area Physicians | Family Medicine | 2701 Ocean Park Blvd, 130, Santa Monica, CA 90405-5200 | 2006-06-17 |
| 1811930613 | Santa Monica Bay Area Physicians | Family Medicine | 2424 Wilshire Blvd, Santa Monica, CA 90403-5806 | 2006-06-13 |
| 1700117546 | Santa Monica Bay Area Physicians | Internal Medicine | 2001 Santa Monica Blvd, 860, Santa Monica, CA 90404-2102 | 2010-01-19 |
| 1427385467 | Santa Monica Bay Area Physicians | Internal Medicine | 2021 Santa Monica Blvd, Suite 325e, Santa Monica, CA 90404-2208 | 2009-11-12 |
| 1609890169 | Santa Monica Bay Area Physicians | Family Medicine | 804 7th St, Santa Monica, CA 90403-1408 | 2006-07-27 |
| 1447282405 | Santa Monica Bay Area Physicians | Family Medicine | 2001 Santa Monica Blvd, 370w, Santa Monica, CA 90404-2102 | 2006-07-07 |
| 1013948991 | Santa Monica Bay Area Physicians | Family Medicine | 2001 Santa Monica Blvd, 1070, Santa Monica, CA 90404-2102 | 2006-07-06 |
| 1245268267 | Santa Monica Bay Area Physicians | Family Medicine | 2001 Santa Monica Blvd, 1080, Santa Monica, CA 90404-2102 | 2006-06-29 |
| Street Address |
881 ALMA REAL DR 214 |
| City | PACIFIC PALISADES |
| State | CA |
| Zip Code | 90272-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279795 | Thomas Harrison Price | Pharmacist | 881 Alma Real Dr, Pacific Palisades, CA 90272-5015 | 2005-07-20 |
| 1083148811 | Ellen Corn | Physician Assistant | 881 Alma Real Dr, 103, Pacific Palisades, CA 90272-3731 | 2017-04-18 |
| 1053845172 | Max Moncayo Dds Dental Corporation | Dentist | 881 Alma Real Dr, Suite T4, Pacific Palisades, CA 90272-3731 | 2017-04-14 |
| 1467859595 | Serenity Family and Psychological Counseling Center, P.C. | Marriage & Family Therapist | 881 Alma Real Dr, Suite 310, Pacific Palisades, CA 90272-3731 | 2014-12-04 |
| 1790186757 | David W. Dorfman, Md, Dds, Inc. | Dentist | 881 Alma Real Dr, Suite 204, Pacific Palisades, CA 90272-3731 | 2014-09-09 |
| 1508272501 | Justine Sarah Dembo | Psychiatry & Neurology | 881 Alma Real Dr, Suite 311, Pacific Palisades, CA 90272-3731 | 2014-07-10 |
| 1699197400 | Luxe Hospice, Inc. | Hospice Care, Community Based | 881 Alma Real Dr, Suite T9b, Pacific Palisades, CA 90272-3731 | 2014-01-13 |
| 1376806612 | Shangrila Care Inc. | Reflexologist | 881 Alma Real Dr, T - 04, Pacific Palisades, CA 90272-3731 | 2012-06-21 |
| 1215294293 | William L Francis | Dentist | 881 Alma Real Dr, Suite T2, Pacific Palisades, CA 90272-3731 | 2012-04-16 |
| 1912272402 | Schendel Md Broujerdi Md Inc | Clinic/Center | 881 Alma Real Dr, Suite 204, Pacific Palisades, CA 90272-3731 | 2012-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852590 | Lynn Watanabe | Dentist | 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 | 2017-03-16 |
| 1891248217 | Ericka Hofmeyer | Marriage & Family Therapist | 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 | 2016-08-02 |
| 1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
| 1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
| 1356712442 | Kathryn Hope Carter | Counselor | 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 | 2015-10-14 |
| 1922480946 | John Pietrzak | Psychologist | 15340 Albright St Unit 106, Pacific Palisades, CA 90272 | 2015-06-25 |
| 1841607652 | Babak Forooghi | Dentist | 15720 Ventura Blvd. Suite 311, Encino, CA 90272 | 2014-07-14 |
| 1679992374 | Julie Erickson | Marriage & Family Therapist | 1052 Kagawa Street, Pacific Palisades, CA 90272 | 2014-04-09 |
| 1669750816 | Communy Care At Home | Adult Companion | 1623 S. La Cienega Blvd, Los Angeles, CA 90272 | 2011-07-21 |
| 1548498165 | Norman J. Rubaum | Surgery | 620 Enchanted Way, Pacific Palisades, CA 90272 | 2009-06-23 |
| Find all providers in zip 90272 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902245111 | Anthony Chu | Family Medicine | 528 Palisades Dr # 176, Pacific Palisades, CA 90272-2844 | 2013-06-20 |
| 1730482092 | Alexandra Titone | Family Medicine | 910 Via De La Paz Ste 100, Pacific Palisades, CA 90272-3538 | 2010-12-08 |
| 1649455841 | Erin Lynne Imler | Family Medicine | 881 Alma Real Dr Ste 214, Pacific Palisades, CA 90272-3750 | 2008-01-07 |
| 1891736757 | Julia Blank | Family Medicine | 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272-3792 | 2006-06-09 |
| 1063461804 | Uc Regents Ucla Dept of Medicine Prof Group | Family Medicine | 15200 W Sunset Blvd, Pacific Palisades, CA 90272-3619 | 2006-05-09 |
| 1689012908 | Grace Morgan Tassa | Family Medicine | 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272-3792 | 2013-06-08 |
| 1932465879 | Ronen Joseph Kalay | Family Medicine | 881 Alma Real Dr Ste 214, Pacific Palisades, CA 90272-3750 | 2012-04-04 |
| 1275686347 | Robert M Kahn Md Inc | Family Medicine | 881 Alma Real Dr, Suite 103, Pacific Palisades, CA 90272-3731 | 2007-01-19 |
| 1326105685 | Jeffrey Alan Tipton | Family Medicine | 15150 W Sunset Blvd, Pacific Palisades, CA 90272-3720 | 2007-01-03 |
| 1215037049 | Pacific Palisades Medical Group Inc. | Family Medicine | 15200 W Sunset Blvd, Suite 107, Pacific Palisades, CA 90272-3619 | 2006-09-22 |
| Find all providers in PACIFIC PALISADES | ||||
| City | PACIFIC PALISADES |
| Zip Code | 90272 |
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| 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.