Individual provider Active NPI

Lauren Cutler

  • Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1063916906
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A165352 Issued in CA
Practice address
901 Wilshire Blvd FL 1
Santa Monica, CA 90401-1854
Phone
(310) 829-8441
Fax
(424) 212-5932
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X A165352 CA Primary

Addresses

Primary practice location

901 Wilshire Blvd FL 1
Santa Monica, CA 90401-1854

Mailing address

2051 Marengo St
Los Angeles, CA 90033-1352
Phone (323) 409-1000

Other practice location 1

2051 Marengo St
Los Angeles, CA 90033-1352
Phone (323) 409-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcutler1279414@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200716000376 CA Practitioner - Emergency Medicine 9335570902 Reassigns benefits to 1 organization
I20240806002545 CA Practitioner - Dermatology 9335570902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Monica Dermatology GroupGroup PAC ID 8123390986, 4 clinicians

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 990W
Santa Monica, CA 90404-2155
Phone (310) 829-4484

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions781
Removal or shaving of skin growth169
Skin biopsy112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165352CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Jun 6, 2020 Accepting new patients
Lauren L Reager a California Medical Corporation Dermatology Current Accepting new patients
Santa Monica Dermatology Group Dermatology CurrentSince Sep 9, 2024 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jun 6, 2020 Accepting new patients

Locations

2001 Santa Monica Blvd
Ste 990W
Santa Monica, CA 90404
Phone (310) 829-4481

901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2001 Santa Monica Blvd
Ste 990
Santa Monica, CA 90404

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e1A5O_wfjp6bxazsKQMUgQtMMK_UwF9x/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1063916906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "323-409-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILSHIRE BLVD FL 1",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011854",
            "telephone_number": "310-829-8441",
            "fax_number": "424-212-5932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Marengo St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331352",
            "country_code": "US",
            "telephone_number": "323-409-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A165352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcutler1279414@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "901 Wilshire Blvd Fl 1",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904011854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.