PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION (NPI# 1770093734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770093734 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Practice Address |
2121 Santa Monica Blvd Santa Monica CA 90404-2303 |
| Mailing Address |
2020 Santa Monica Blvd Ste 300 Santa Monica CA 90404-2013 |
| Practice Telephone | 3105827312 |
| Mailing Telephone | 3105827312 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | MR. DONALD W ANDERSON JR. (DIRECTOR - REIMBURSEMENT ADMINISTRA) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518438712 | Providence Saint Johns Medical Foundation | Internal Medicine | 2020 Santa Monica Blvd Ste 300, Santa Monica, CA 90404-2013 | 2018-12-16 |
| Street Address |
2121 SANTA MONICA BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062023 | Lisa Martine Chaiken | Radiology | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2005-06-13 |
| 1003428673 | Geremy Zhang | Registered Nurse | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-08-17 |
| 1376152082 | Jennifer Scheller | Student in an Organized Health Care Education/Training Program | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-07-28 |
| 1710518881 | Niceto Lopez, M.d., A.p.c. | Internal Medicine | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-01-28 |
| 1780223412 | Genevieve Abanilla Veneracion | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2019-12-28 |
| 1013560515 | Breanne Grazer | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2019-07-23 |
| 1104310002 | Michelle Padilla Martinez | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2018-06-15 |
| 1952815714 | Frania Julianne Ciszewski | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-11-30 |
| 1609388271 | Tara Jean Kays | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-11-03 |
| 1275059131 | Ana Maricela Rocha | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-08-22 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609405158 | Mai Abe | Specialist | 1333 2nd St Ste 100, Santa Monica, CA 90401-4104 | 2020-04-06 |
| 1205384799 | Anna Beata Goslicka | Specialist | 427 14th St, Santa Monica, CA 90402-2131 | 2016-09-14 |
| 1477917771 | Joanna Schafhausen Stover | Specialist | 1721 21st St, Santa Monica, CA 90404-3916 | 2016-04-12 |
| 1235505637 | Andrea Lynn Stein Md A Medical Corporation | Specialist | 2021 Santa Monica Blvd Ste 730e, Santa Monica, CA 90404-2173 | 2015-08-19 |
| 1942628128 | Meghan Jain | Specialist | 137 Bay St Ste 6, Santa Monica, CA 90405-1026 | 2014-04-03 |
| 1992054464 | Nicholas Ulrich | Specialist | 1821 Wilshire Blvd Ste 400, Santa Monica, CA 90403-5679 | 2012-08-30 |
| 1912180944 | Yocheved Schoenes | Specialist | 1119 Broadway, D, Santa Monica, CA 90401-3028 | 2007-12-13 |
| 1326237058 | Pacific Coast Women's Center | Specialist | 2121 Wilshire Blvd Ste 302, Santa Monica, CA 90403-5743 | 2007-10-18 |
| 1275731242 | Ot 4 Kidz, Inc | Specialist | 1932 14th St, Unit B, Santa Monica, CA 90404-7028 | 2007-07-11 |
| 1174733729 | Cynthia Kay Epps | Specialist | 457 25th St, Santa Monica, CA 90402-3033 | 2007-05-23 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.