Active NPI
Total Renal Health Medical Corporation
- Nephrology Physician
- Santa Monica, CA
National Provider Identifier
1003082678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- TOTAL RENAL HEALTH MEDICAL CORPORATION
- Practice address
- 1127 22ND Street Unitc
Santa Monica, CA 90403 - Phone
- (562) 301-5306
- NPI assigned
- May 5, 2008
- Last updated
- May 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mercedes Johnson
- Title
- Business Office Manager
- Phone
- (562) 301-5306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1127 22ND Street Unitc
Santa Monica, CA 90403
Mailing address
PO Box 42
La Habra, CA 90633-0042
Phone (562) 301-5306
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1003082678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906330042",
"telephone_number": "562-301-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 22ND STREET UNITC",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "562-301-5306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL HEALTH MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MERCEDES",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "562-301-5306"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.