Active NPI
Santa Monica Podiatry Group, Inc.
- Primary Podiatric Medicine Podiatrist
- Santa Monica, CA
National Provider Identifier
1043245525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E2764
- Legal business name
- SANTA MONICA PODIATRY GROUP, INC.
- Practice address
- 1260 15TH St
Suite 1014
Santa Monica, CA 90404-1135 - Phone
- (310) 451-1618
- NPI assigned
- Jul 12, 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. Terry Jay Boykoff, DPM
- Title
- President
- Phone
- (310) 451-1618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E2764 | CA | Primary |
Addresses
Primary practice location
1260 15TH St
Suite 1014
Santa Monica, CA 90404-1135
Mailing address
1260 15TH St
Suite 1014
Santa Monica, CA 90404-1135
Phone (310) 451-1618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048 | Other | CA | NEIC SPECIALTY CODE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1260 15th St
Ste 1014
Santa Monica, CA 90404
Phone (310) 451-1618
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Santa Monica, CA
- NPI 1780693382
-
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
- NPI 1609055094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1043245525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 15TH ST",
"address_2": "SUITE 1014",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041135",
"telephone_number": "310-451-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 15TH ST",
"address_2": "SUITE 1014",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041135",
"telephone_number": "310-451-1618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA MONICA PODIATRY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BOYKOFF",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-451-1618",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E2764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIC SPECIALTY CODE",
"identifier": "048",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Santa Monica Operations LLC
- Santa Monica Orthopaedic and Sports Medicine Group
- Santa Monica Orthopaedic Group
- Santa Monica Outpatient Surgery Center
- Santa Monica Physical Therapy Inc
- Santa Monica Preventive Cardiology Medical Group, Inc
- Santa Monica Psychology Group, Inc
- Santa Monica Psychotherapy Group
- Santa Monica Sleep Disorders Center
- Santa Monica Specialty Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.