Active NPI
Lauren L Reager a California Medical Corporation
Doing business as Santa Monica Dermatology Medical Group
- Dermatology Physician
- Santa Monica, CA
National Provider Identifier
1023112315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- LAUREN L REAGER A CALIFORNIA MEDICAL CORPORATION
- Doing business as
- Santa Monica Dermatology Medical Group
- Practice address
- 2001 Santa Monica Blvd
Suite 990W
Santa Monica, CA 90404-2155 - Phone
- (310) 829-4484
- Fax
- (310) 828-2702
- NPI assigned
- Sep 8, 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. Lauren L Reager, MD
- Title
- Owner Physician
- Phone
- (310) 829-4484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd
Suite 990W
Santa Monica, CA 90404-2155
Mailing address
2001 Santa Monica Blvd
Suite 990W
Santa Monica, CA 90404-2155
Phone (310) 829-4484
Other names 1
- Santa Monica Dermatology Medical Group
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1063916906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1023112315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "SUITE 990W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042155",
"telephone_number": "310-829-4484",
"fax_number": "310-829-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "SUITE 990W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042155",
"telephone_number": "310-829-4484",
"fax_number": "310-828-2702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREN L REAGER A CALIFORNIA MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "REAGER",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "310-829-4484",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Monica Dermatology Medical Group",
"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 Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.