Organization Active NPI

Arizona & 21St Corp

Doing business as Berkley East Conv Hosp

  • Skilled Nursing Facility
  • Santa Monica, CA
National Provider Identifier
1003804212
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
910000013 Issued in CA
Legal business name
ARIZONA & 21ST CORP
Doing business as
Berkley East Conv Hosp
Practice address
2021 Arizona Ave
Santa Monica, CA 90404-1335
Phone
(310) 829-5377
Fax
(310) 829-5378
NPI assigned
Oct 11, 2005
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Mr. Steven Galper
Title
Vice President
Phone
(310) 829-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 910000013 CA Primary

Addresses

Primary practice location

2021 Arizona Ave
Santa Monica, CA 90404-1335

Mailing address

2021 Arizona Ave
Santa Monica, CA 90404-1335
Phone (310) 829-5377

Other names 1

  • BERKLEY EAST CONV HOSP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1003804212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041335",
            "telephone_number": "310-829-5377",
            "fax_number": "310-829-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041335",
            "telephone_number": "310-829-5377",
            "fax_number": "310-829-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA & 21ST CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "GALPER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-829-5377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERKLEY EAST CONV HOSP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.