Santa Monica Sports Medicine Center

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

20A5391 Issued in CA

Legal business name

SANTA MONICA SPORTS MEDICINE CENTER

Practice address

900 Wilshire Blvd
Suite 410
Santa Monica, CA 90401-1872

Phone

(310) 458-1259

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Schreiber

Title

President

Phone

(310) 458-1259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073637328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "address_2": "SUITE 410",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "address_2": "SUITE 410",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "310-458-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-458-1259",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Monica Preventive Cardiology Medical Group, Inc (Richard L. Taw, Jr., M.D., Inc.)
• Santa Monica Psychology Group, Inc
• Santa Monica Psychotherapy Group
• Santa Monica Sleep Disorders Center
• Santa Monica Specialty Surgery Center
• Santa Monica Sports Medicine Inc.
• Santa Monica Superior Acupuncture Clinic Inc.
• Santa Monica Surgery & Laser Center Medical Associates, LLC
• Santa Monica Surgery, LLC
• Santa Monica Surgical Center

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.