Individual provider Active NPI

Jeanne M Axler, M.D.

  • Pain Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1083648547
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A40424 Issued in CA
Practice address
3205 Ocean Park Blvd Ste 250
Santa Monica, CA 90405-3240
Phone
(310) 452-8345
Fax
(310) 452-8347
NPI assigned
Jul 10, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A40424 CA Primary

Addresses

Primary practice location

3205 Ocean Park Blvd Ste 250
Santa Monica, CA 90405-3240

Mailing address

3205 Ocean Park Blvd Ste 250
Santa Monica, CA 90405-3239
Phone (310) 452-8345

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
I20120210000802 CA Practitioner - General Practice 4981861465 Practice locations: Santa Monica, CA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1083648547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 OCEAN PARK BLVD STE 250",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053239",
            "telephone_number": "310-452-8345",
            "fax_number": "310-452-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 OCEAN PARK BLVD STE 250",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053240",
            "telephone_number": "310-452-8345",
            "fax_number": "310-452-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXLER",
        "first_name": "JEANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A40424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.