Individual provider Active NPI

Jamie Ann Elson-Wolin, M.D.

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1003109752
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A123003 Issued in CA
Practice address
2121 Wilshire Blvd
Suite 306
Santa Monica, CA 90403-5720
Phone
(310) 264-0765
Fax
(310) 829-0765
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A123003 CA Primary

Addresses

Primary practice location

2121 Wilshire Blvd
Suite 306
Santa Monica, CA 90403-5720

Mailing address

2121 Wilshire Blvd Ste 306
Santa Monica, CA 90403-5743
Phone (310) 264-0765

Other names 1

  • Dr. Jamie Ann Elson-Wolin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140314000836 CA Practitioner - Family Practice 5395976393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Westside Internal MedicineGroup PAC ID 1850353525, 8 clinicians

Practice addresses (Care Compare)

2121 Wilshire Blvd
Suite 304
Santa Monica, CA 90403-5743
Phone (310) 829-7762

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A123003CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients

Locations

2121 Wilshire Blvd
Ste 304
Santa Monica, CA 90403
Phone (310) 264-0065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIBHAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1003109752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035743",
            "telephone_number": "310-264-0765",
            "fax_number": "310-829-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "SUITE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035720",
            "telephone_number": "310-264-0765",
            "fax_number": "310-829-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSON-WOLIN",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A123003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "ELSON-WOLIN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.