Active NPI
Jonathan Pak
- Student in an Organized Health Care Education/Training Program
- Santa Monica, CA
National Provider Identifier
1053238535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 51133
- Practice address
- 2001 Santa Monica Blvd Ste 100W
Santa Monica, CA 90404-2176 - Phone
- (310) 496-7555
- NPI assigned
- Jul 3, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 51133 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd Ste 100W
Santa Monica, CA 90404-2176
Mailing address
3585 S Vermont Ave
Los Angeles, CA 90007-5244
Phone (657) 386-6015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Pharmacy Group Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba 986 Pharmacy #8008
- Community/Retail Pharmacy
- Santa Monica, CA
- NPI 1912542275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1053238535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3585 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900075244",
"telephone_number": "657-386-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 100W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042176",
"telephone_number": "310-496-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-07-03",
"last_updated": "2026-07-03",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "51133",
"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 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.