Active NPI
John B. Bornstein, M.D., Inc.
- Anesthesiology Physician
- Santa Monica, CA
National Provider Identifier
1023109907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G38206
- Legal business name
- JOHN B. BORNSTEIN, M.D., INC.
- Practice address
- 2121 Wilshire Blvd
Santa Monica, CA 90403-5720 - Phone
- (310) 264-7300
- NPI assigned
- Sep 27, 2006
- 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
- Dr. John Bernhard Bornstein, M.D.
- Title
- President
- Phone
- (818) 995-4886
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G38206 | CA | Primary |
Addresses
Primary practice location
2121 Wilshire Blvd
Santa Monica, CA 90403-5720
Mailing address
225 S Lake Ave
#535
Pasadena, CA 91101-3005
Phone (626) 795-6596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2476 Overland Ave
Ste 303
Los Angeles, CA 90064
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1427064369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203638400000",
"number": "1023109907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S LAKE AVE",
"address_2": "#535",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013005",
"telephone_number": "626-795-6596",
"fax_number": "626-396-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035720",
"telephone_number": "310-264-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN B. BORNSTEIN, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-02-22",
"status": "A",
"authorized_official_last_name": "BORNSTEIN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BERNHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-995-4886",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "G38206",
"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 Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.