Active NPI
Ronald W Strahan, MD
- Specialist
- Santa Monica, CA
National Provider Identifier
1023214954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C28592
- Practice address
- 1260 15TH St
Suite 600
Santa Monica, CA 90404-1135 - Phone
- (310) 394-0500
- Fax
- (310) 471-5788
- NPI assigned
- Jun 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C28592 | CA | Primary |
Addresses
Primary practice location
1260 15TH St
Suite 600
Santa Monica, CA 90404-1135
Mailing address
289 N Tigertail Rd
Los Angeles, CA 90049-2803
Phone (310) 925-6425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210521001375 | CA | Order and Referring Only - Otolaryngology | 7719386812 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C28592 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023214954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 N TIGERTAIL RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900492803",
"telephone_number": "310-925-6425",
"fax_number": "310-472-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 15TH ST",
"address_2": "SUITE 600",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041135",
"telephone_number": "310-394-0500",
"fax_number": "310-471-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAHAN",
"first_name": "RONALD",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C28592",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.