Individual provider Active NPI

Efrain Talamantes, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1063688802
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A109825 Issued in CA
Practice address
1225 15TH St
910
Santa Monica, CA 90404-1101
Phone
(310) 319-4698
Fax
(310) 319-4908
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A109825 CA Primary
Hospitalist Physician 208M00000X A109825 CA

Addresses

Primary practice location

1225 15TH St
910
Santa Monica, CA 90404-1101

Mailing address

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 267-9643

Other identifiers 1

IdentifierTypeStateIssuer
1063688802MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000410 CA Practitioner - Internal Medicine 5890972772 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A109825CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Mar 15, 2016 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Apr 15, 2017 Accepting new patients
Emanate Health Medical Care Foundation CurrentSince Feb 1, 2026 Accepting new patients
County of Sacramento Past Accepting new patients

Locations

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1135 S Sunset Ave
Ste 401
West Covina, CA 91790
Phone (626) 732-8390

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1063688802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-267-9643",
            "fax_number": "310-319-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 15TH ST",
            "address_2": "910",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041101",
            "telephone_number": "310-319-4698",
            "fax_number": "310-319-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAMANTES",
        "first_name": "EFRAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109825",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A109825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063688802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.